CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: CH EKM Questionnaire: Mpox (fr-CH) - JSON Representation

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{
  "resourceType" : "Questionnaire",
  "id" : "ChEkmQuestionnaireMpox-fr-CH",
  "meta" : {
    "source" : "https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh",
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"
    ]
  },
  "language" : "fr-CH",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"fr-CH\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"fr-CH\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire ChEkmQuestionnaireMpox-fr-CH</b></p><a name=\"ChEkmQuestionnaireMpox-fr-CH\"> </a><a name=\"hcChEkmQuestionnaireMpox-fr-CH\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: fr-CH; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh\">https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/sdc/STU4/StructureDefinition-sdc-questionnaire-pop-exp.html\">Populatable Questionnaire - Expression</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> ChEkmQuestionnaireMpoxfrCH</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GENERATED FILE — do not edit by hand. Assembled from the modular questionnaire ChEkmQuestionnaireMpox and its sub-questionnaires via Questionnaire/$assemble (tests/assemble-questionnaire.sh). Re-run that script after changing any child questionnaire to keep this resource in sync.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpox-fr-CH#0.0.1</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.mpox-form\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> mpox-form</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Déclaration de résultat clinique : Mpox</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.person\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> person</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Données relatives à la personne concernée</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.surname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> surname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nom</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.surname\">ChEkmPersonForm.surname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.givenname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> givenname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Prénom</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.givenname\">ChEkmPersonForm.givenname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.dateOfBirth\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> dateOfBirth</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date de naissance</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.dateOfBirth\">ChEkmPersonForm.dateOfBirth</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.ahvn13\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> ahvn13</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Numéro AVS (OASI)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 13<br/>Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.ahvn13\">ChEkmPersonForm.ahvn13</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.nationality\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> nationality</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nationalité</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.nationality\">ChEkmPersonForm.nationality</a><br/>Options: <a href=\"#opt-item.nationality\">196 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.zipCode\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> zipCode</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">NPA</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.zipCode\">ChEkmPersonForm.zipCode</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.city\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> city</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Localité</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.city\">ChEkmPersonForm.city</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.country\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> country</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Pays</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.country\">ChEkmPersonForm.country</a><br/>Options: <a href=\"#opt-item.country\">196 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.canton\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> canton</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Canton</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.canton\">ChEkmPersonForm.canton</a><br/>Options: <a href=\"#opt-item.canton\">26 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" id=\"item.administrativeGender\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> administrativeGender</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sexe</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.administrativeGender\">ChEkmPersonForm.administrativeGender</a><br/>Value Set: <br/>Options: <a href=\"#opt-item.administrativeGender\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.manifestation-group\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> manifestation-group</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Diagnostic et manifestation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.manifestation\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> manifestation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Manifestations</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation<br/>Value Set: <br/>Options: <a href=\"#opt-item.manifestation\">13 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.manifestationBeginUnknown\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> manifestationBeginUnknown</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Début des manifestations inconnu</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmManifestationForm.html#ChEkmManifestationForm.manifestationBeginUnknown\">ChEkmManifestationForm.manifestationBeginUnknown</a><br/>Initial Value: boolean = false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" id=\"item.manifestationBeginDate\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> manifestationBeginDate</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Début des manifestations (date)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmManifestationForm.html#ChEkmManifestationForm.manifestationBeginDate\">ChEkmManifestationForm.manifestationBeginDate</a><br/>Enable When: <span><a href=\"#item.manifestationBeginUnknown\">manifestationBeginUnknown</a> = false</span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.exposure\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> exposure</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Exposition</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)\" id=\"item.transmission\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> transmission</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Comment (voie de transmission)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)\" id=\"item.sexualContactPartner\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> sexualContactPartner</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Rapport sexuel avec une personne infectée (sexe)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner\">ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner</a><br/>Options: <a href=\"#opt-item.sexualContactPartner\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)\" id=\"item.relationshipType\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> relationshipType</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type de relation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.relationshipType\">ChEkmGonorrhoeaExpositionForm.transmission.relationshipType</a><br/>Options: <a href=\"#opt-item.relationshipType\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)\" id=\"item.otherTransmission\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> otherTransmission</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Autre voie de transmission (texte libre)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission\">ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)\" id=\"item.unknown\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> unknown</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Voie de transmission inconnue</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.unknown\">ChEkmGonorrhoeaExpositionForm.transmission.unknown</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" id=\"item.treatingPhysician\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> treatingPhysician</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Médecin traitant</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0011.png)\" id=\"item.treatingPhysicianPractitioner\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> treatingPhysicianPractitioner</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Médecin traitant</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianGivenname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianGivenname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Prénom</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.givenname\">ChEkmTreatingPhysicianPractitionerForm.givenname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianSurname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianSurname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nom</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.surname\">ChEkmTreatingPhysicianPractitionerForm.surname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianStreetLine\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianStreetLine</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Adresse (rue, numéro)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.streetLine\">ChEkmTreatingPhysicianPractitionerForm.streetLine</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianZipCode\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianZipCode</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">NPA</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.zipCode\">ChEkmTreatingPhysicianPractitionerForm.zipCode</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianCity\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianCity</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Localité</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.city\">ChEkmTreatingPhysicianPractitionerForm.city</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianPhone\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianPhone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Numéro de téléphone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.phone\">ChEkmTreatingPhysicianPractitionerForm.phone</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianEmail\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianEmail</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">E-mail</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.email\">ChEkmTreatingPhysicianPractitionerForm.email</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00100.png)\" id=\"item.physicianGln\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianGln</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GLN</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.gln\">ChEkmTreatingPhysicianPractitionerForm.gln</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)\" id=\"item.treatingPhysicianOrganization\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> treatingPhysicianOrganization</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Organisation émettrice</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgName\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgName</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nom</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.name\">ChEkmTreatingPhysicianOrganizationForm.name</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgDepartment\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgDepartment</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Service</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.department\">ChEkmTreatingPhysicianOrganizationForm.department</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgStreetLine\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgStreetLine</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Adresse (rue, numéro)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.streetLine\">ChEkmTreatingPhysicianOrganizationForm.streetLine</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgZipCode\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgZipCode</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">NPA</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.zipCode\">ChEkmTreatingPhysicianOrganizationForm.zipCode</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgCity\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgCity</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Localité</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.city\">ChEkmTreatingPhysicianOrganizationForm.city</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgPhone\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgPhone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Numéro de téléphone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.phone\">ChEkmTreatingPhysicianOrganizationForm.phone</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgEmail\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgEmail</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">E-mail</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.email\">ChEkmTreatingPhysicianOrganizationForm.email</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgBer\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgBer</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">REE</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.ber\">ChEkmTreatingPhysicianOrganizationForm.ber</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)\" id=\"item.orgGln\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgGln</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GLN</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.gln\">ChEkmTreatingPhysicianOrganizationForm.gln</a></td></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.nationality\"> </a><p><b>Answer options for nationality </b></p><ul><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CH (&quot;Suisse&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AL (&quot;Albanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AD (&quot;Andorre&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BE (&quot;Belgique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BG (&quot;Bulgarie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DK (&quot;Danemark&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DE (&quot;Allemagne&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FI (&quot;Finlande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FR (&quot;France&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GR (&quot;Grèce&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GB (&quot;Royaume-Uni&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IE (&quot;Irlande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IS (&quot;Islande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IT (&quot;Italie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LI (&quot;Liechtenstein&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LU (&quot;Luxembourg&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MT (&quot;Malte&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MC (&quot;Monaco&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NL (&quot;Pays-Bas&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NO (&quot;Norvège&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AT (&quot;Autriche&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PL (&quot;Pologne&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PT (&quot;Portugal&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RO (&quot;Roumanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SM (&quot;Saint-Marin&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SE (&quot;Suède&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ES (&quot;Espagne&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TR (&quot;Türkiye&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HU (&quot;Hongrie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VA (&quot;Cité du Vatican&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CY (&quot;Chypre&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SK (&quot;Slovaquie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CZ (&quot;Tchéquie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RS (&quot;Serbie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HR (&quot;Croatie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SI (&quot;Slovénie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BA (&quot;Bosnie et Herzégovine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ME (&quot;Monténégro&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MK (&quot;Macédoine du Nord&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#XK (&quot;Kosovo&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#EE (&quot;Estonie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LV (&quot;Lettonie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LT (&quot;Lituanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MD (&quot;Moldova&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RU (&quot;Russie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UA (&quot;Ukraine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BY (&quot;Bélarus&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GQ (&quot;Guinée équatoriale&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ET (&quot;Éthiopie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DJ (&quot;Djibouti&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DZ (&quot;Algérie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AO (&quot;Angola&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BW (&quot;Botswana&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BI (&quot;Burundi&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BJ (&quot;Bénin&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CI (&quot;Côte d'Ivoire&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GA (&quot;Gabon&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GM (&quot;Gambie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GH (&quot;Ghana&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GW (&quot;Guinée-Bissau&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GN (&quot;Guinée&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CM (&quot;Cameroun&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CV (&quot;Cabo Verde&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KE (&quot;Kenya&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KM (&quot;Comores&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CG (&quot;Congo (Brazzaville)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CD (&quot;Congo (Kinshasa)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LS (&quot;Lesotho&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LR (&quot;Libéria&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LY (&quot;Libye&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MG (&quot;Madagascar&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MW (&quot;Malawi&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ML (&quot;Mali&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MA (&quot;Maroc&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MR (&quot;Mauritanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MU (&quot;Maurice&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MZ (&quot;Mozambique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NE (&quot;Niger&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NG (&quot;Nigéria&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BF (&quot;Burkina Faso&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ZW (&quot;Zimbabwe&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RW (&quot;Rwanda&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ZM (&quot;Zambie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ST (&quot;Sao Tomé-et-Principe&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SN (&quot;Sénégal&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SC (&quot;Seychelles&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SL (&quot;Sierra Leone&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SO (&quot;Somalie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ZA (&quot;Afrique du Sud&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SD (&quot;Soudan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NA (&quot;Namibie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SZ (&quot;Eswatini&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TZ (&quot;Tanzanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TG (&quot;Togo&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TD (&quot;Tchad&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TN (&quot;Tunisie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UG (&quot;Ouganda&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#EG (&quot;Égypte&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CF (&quot;République centrafricaine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ER (&quot;Érythrée&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SS (&quot;Soudan du Sud&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AR (&quot;Argentine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BS (&quot;Bahamas&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BB (&quot;Barbade&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BO (&quot;Bolivie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BR (&quot;Brésil&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CL (&quot;Chili&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CR (&quot;Costa Rica&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DO (&quot;République dominicaine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#EC (&quot;Équateur&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SV (&quot;El Salvador&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GT (&quot;Guatemala&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GY (&quot;Guyana&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HT (&quot;Haïti&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BZ (&quot;Belize&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HN (&quot;Honduras&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#JM (&quot;Jamaïque&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CA (&quot;Canada&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CO (&quot;Colombie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CU (&quot;Cuba&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MX (&quot;Mexique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NI (&quot;Nicaragua&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PA (&quot;Panama&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PY (&quot;Paraguay&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PE (&quot;Pérou&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SR (&quot;Suriname&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TT (&quot;Trinité-et-Tobago&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UY (&quot;Uruguay&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VE (&quot;Venezuela&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#US (&quot;États-Unis&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DM (&quot;Dominique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GD (&quot;Grenade&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AG (&quot;Antigua-et-Barbuda&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LC (&quot;Sainte-Lucie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VC (&quot;Saint-Vincent-et-les Grenadines&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KN (&quot;Saint-Kitts-et-Nevis&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AF (&quot;Afghanistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BH (&quot;Bahreïn&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BT (&quot;Bhoutan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BN (&quot;Brunéi Darussalam&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MM (&quot;Myanmar&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LK (&quot;Sri Lanka&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CN (&quot;Chine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IN (&quot;Inde&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ID (&quot;Indonésie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IQ (&quot;Irak&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IR (&quot;Iran&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IL (&quot;Israël&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#JP (&quot;Japon&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#YE (&quot;Yémen&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#JO (&quot;Jordanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KH (&quot;Cambodge&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#QA (&quot;Qatar&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KW (&quot;Koweït&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LA (&quot;Laos&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LB (&quot;Liban&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MY (&quot;Malaisie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MV (&quot;Maldives&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#OM (&quot;Oman&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MN (&quot;Mongolie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NP (&quot;Népal&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KP (&quot;Corée (Nord)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AE (&quot;Émirats arabes unis&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PK (&quot;Pakistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PH (&quot;Philippines&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SA (&quot;Arabie saoudite&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SG (&quot;Singapour&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KR (&quot;Corée (Sud)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SY (&quot;Syrie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TH (&quot;Thaïlande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VN (&quot;Vietnam&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BD (&quot;Bangladesh&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TL (&quot;Timor-Leste&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AM (&quot;Arménie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AZ (&quot;Azerbaïdjan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GE (&quot;Géorgie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KZ (&quot;Kazakhstan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KG (&quot;Kirghizistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TJ (&quot;Tadjikistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TM (&quot;Turkménistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UZ (&quot;Ouzbékistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AU (&quot;Australie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FJ (&quot;Fidji&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NR (&quot;Nauru&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VU (&quot;Vanuatu&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NZ (&quot;Nouvelle-Zélande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PG (&quot;Papouasie-Nouvelle-Guinée&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TO (&quot;Tonga&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#WS (&quot;Samoa&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SB (&quot;Îles Salomon&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TV (&quot;Tuvalu&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KI (&quot;Kiribati&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MH (&quot;Îles Marshall&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FM (&quot;Micronésie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PW (&quot;Palaos&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CK (&quot;Îles Cook&quot;)</li></ul><a name=\"opt-item.country\"> </a><p><b>Answer options for country </b></p><ul><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CH (&quot;Suisse&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AL (&quot;Albanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AD (&quot;Andorre&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BE (&quot;Belgique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BG (&quot;Bulgarie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DK (&quot;Danemark&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DE (&quot;Allemagne&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FI (&quot;Finlande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FR (&quot;France&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GR (&quot;Grèce&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GB (&quot;Royaume-Uni&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IE (&quot;Irlande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IS (&quot;Islande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IT (&quot;Italie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LI (&quot;Liechtenstein&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LU (&quot;Luxembourg&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MT (&quot;Malte&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MC (&quot;Monaco&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NL (&quot;Pays-Bas&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NO (&quot;Norvège&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AT (&quot;Autriche&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PL (&quot;Pologne&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PT (&quot;Portugal&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RO (&quot;Roumanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SM (&quot;Saint-Marin&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SE (&quot;Suède&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ES (&quot;Espagne&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TR (&quot;Türkiye&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HU (&quot;Hongrie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VA (&quot;Cité du Vatican&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CY (&quot;Chypre&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SK (&quot;Slovaquie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CZ (&quot;Tchéquie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RS (&quot;Serbie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HR (&quot;Croatie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SI (&quot;Slovénie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BA (&quot;Bosnie et Herzégovine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ME (&quot;Monténégro&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MK (&quot;Macédoine du Nord&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#XK (&quot;Kosovo&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#EE (&quot;Estonie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LV (&quot;Lettonie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LT (&quot;Lituanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MD (&quot;Moldova&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RU (&quot;Russie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UA (&quot;Ukraine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BY (&quot;Bélarus&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GQ (&quot;Guinée équatoriale&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ET (&quot;Éthiopie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DJ (&quot;Djibouti&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DZ (&quot;Algérie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AO (&quot;Angola&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BW (&quot;Botswana&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BI (&quot;Burundi&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BJ (&quot;Bénin&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CI (&quot;Côte d'Ivoire&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GA (&quot;Gabon&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GM (&quot;Gambie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GH (&quot;Ghana&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GW (&quot;Guinée-Bissau&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GN (&quot;Guinée&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CM (&quot;Cameroun&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CV (&quot;Cabo Verde&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KE (&quot;Kenya&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KM (&quot;Comores&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CG (&quot;Congo (Brazzaville)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CD (&quot;Congo (Kinshasa)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LS (&quot;Lesotho&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LR (&quot;Libéria&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LY (&quot;Libye&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MG (&quot;Madagascar&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MW (&quot;Malawi&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ML (&quot;Mali&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MA (&quot;Maroc&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MR (&quot;Mauritanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MU (&quot;Maurice&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MZ (&quot;Mozambique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NE (&quot;Niger&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NG (&quot;Nigéria&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BF (&quot;Burkina Faso&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ZW (&quot;Zimbabwe&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#RW (&quot;Rwanda&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ZM (&quot;Zambie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ST (&quot;Sao Tomé-et-Principe&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SN (&quot;Sénégal&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SC (&quot;Seychelles&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SL (&quot;Sierra Leone&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SO (&quot;Somalie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ZA (&quot;Afrique du Sud&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SD (&quot;Soudan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NA (&quot;Namibie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SZ (&quot;Eswatini&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TZ (&quot;Tanzanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TG (&quot;Togo&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TD (&quot;Tchad&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TN (&quot;Tunisie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UG (&quot;Ouganda&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#EG (&quot;Égypte&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CF (&quot;République centrafricaine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ER (&quot;Érythrée&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SS (&quot;Soudan du Sud&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AR (&quot;Argentine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BS (&quot;Bahamas&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BB (&quot;Barbade&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BO (&quot;Bolivie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BR (&quot;Brésil&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CL (&quot;Chili&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CR (&quot;Costa Rica&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DO (&quot;République dominicaine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#EC (&quot;Équateur&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SV (&quot;El Salvador&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GT (&quot;Guatemala&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GY (&quot;Guyana&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HT (&quot;Haïti&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BZ (&quot;Belize&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#HN (&quot;Honduras&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#JM (&quot;Jamaïque&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CA (&quot;Canada&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CO (&quot;Colombie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CU (&quot;Cuba&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MX (&quot;Mexique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NI (&quot;Nicaragua&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PA (&quot;Panama&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PY (&quot;Paraguay&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PE (&quot;Pérou&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SR (&quot;Suriname&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TT (&quot;Trinité-et-Tobago&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UY (&quot;Uruguay&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VE (&quot;Venezuela&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#US (&quot;États-Unis&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#DM (&quot;Dominique&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GD (&quot;Grenade&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AG (&quot;Antigua-et-Barbuda&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LC (&quot;Sainte-Lucie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VC (&quot;Saint-Vincent-et-les Grenadines&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KN (&quot;Saint-Kitts-et-Nevis&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AF (&quot;Afghanistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BH (&quot;Bahreïn&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BT (&quot;Bhoutan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BN (&quot;Brunéi Darussalam&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MM (&quot;Myanmar&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LK (&quot;Sri Lanka&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CN (&quot;Chine&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IN (&quot;Inde&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#ID (&quot;Indonésie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IQ (&quot;Irak&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IR (&quot;Iran&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#IL (&quot;Israël&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#JP (&quot;Japon&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#YE (&quot;Yémen&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#JO (&quot;Jordanie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KH (&quot;Cambodge&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#QA (&quot;Qatar&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KW (&quot;Koweït&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LA (&quot;Laos&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#LB (&quot;Liban&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MY (&quot;Malaisie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MV (&quot;Maldives&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#OM (&quot;Oman&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MN (&quot;Mongolie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NP (&quot;Népal&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KP (&quot;Corée (Nord)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AE (&quot;Émirats arabes unis&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PK (&quot;Pakistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PH (&quot;Philippines&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SA (&quot;Arabie saoudite&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SG (&quot;Singapour&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KR (&quot;Corée (Sud)&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SY (&quot;Syrie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TH (&quot;Thaïlande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VN (&quot;Vietnam&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#BD (&quot;Bangladesh&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TL (&quot;Timor-Leste&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AM (&quot;Arménie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AZ (&quot;Azerbaïdjan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#GE (&quot;Géorgie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KZ (&quot;Kazakhstan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KG (&quot;Kirghizistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TJ (&quot;Tadjikistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TM (&quot;Turkménistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#UZ (&quot;Ouzbékistan&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#AU (&quot;Australie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FJ (&quot;Fidji&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NR (&quot;Nauru&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#VU (&quot;Vanuatu&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#NZ (&quot;Nouvelle-Zélande&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PG (&quot;Papouasie-Nouvelle-Guinée&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TO (&quot;Tonga&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#WS (&quot;Samoa&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#SB (&quot;Îles Salomon&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#TV (&quot;Tuvalu&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#KI (&quot;Kiribati&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#MH (&quot;Îles Marshall&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#FM (&quot;Micronésie&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#PW (&quot;Palaos&quot;)</li><li style=\"font-size: 11px\">urn:iso:std:iso:3166#CK (&quot;Îles Cook&quot;)</li></ul><a name=\"opt-item.canton\"> </a><p><b>Answer options for canton </b></p><ul><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#AG</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#AR</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#AI</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#BL</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#BS</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#BE</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#FR</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#GE</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#GL</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#GR</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#JU</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#LU</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#NE</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#NW</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#OW</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#SH</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#SZ</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#SO</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#SG</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#TI</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#TG</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#UR</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#VD</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#VS</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#ZG</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation#ZH</li></ul><a name=\"opt-item.administrativeGender\"> </a><p><b>Answer options for administrativeGender </b></p><ul><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#male (&quot;masculin&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#female (&quot;féminin&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#other (&quot;autre&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#unknown (&quot;inconnu&quot;)</li></ul><a name=\"opt-item.manifestation\"> </a><p><b>Answer options for manifestation </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#74964007 (&quot;Other&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#373572006 (&quot;Clinical finding absent&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#261665006 (&quot;Unknown&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#95324001:{363698007=280158000} (&quot;Lésion cutanée de la région anogénitale&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#95324001:{363698007=73897004} (&quot;Lésion cutanée du visage&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#95324001:{363698007=116370005} (&quot;Lésion cutanée des extrémités&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#95324001 (&quot;Lésion cutanée&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#30746006 (&quot;Lymphadénopathie&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#68962001 (&quot;Myalgie&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#25064002 (&quot;Céphalée&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#161891005 (&quot;Dorsalgie&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#13791008 (&quot;Asthénie&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#386661006 (&quot;Fièvre&quot;)</li></ul><a name=\"opt-item.sexualContactPartner\"> </a><p><b>Answer options for sexualContactPartner </b></p><ul><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#male (&quot;masculin&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#female (&quot;féminin&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#other (&quot;autre&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#unknown (&quot;inconnu&quot;)</li></ul><a name=\"opt-item.relationshipType\"> </a><p><b>Answer options for relationshipType </b></p><ul><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type#steady-partner (&quot;Partenaire stable&quot;)</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type#non-steady-partner (&quot;Partenaire non stable&quot;)</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type#offered-paid-sex (&quot;Offre de sexe rémunéré&quot;)</li><li style=\"font-size: 11px\">http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type#used-paid-sex (&quot;Recours à du sexe rémunéré&quot;)</li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding" : {
        "system" : "http://hl7.org/fhir/version-algorithm",
        "code" : "semver"
      }
    },
    {
      "extension" : [
        {
          "url" : "name",
          "valueCoding" : {
            "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
            "code" : "patient",
            "display" : "Patient"
          }
        },
        {
          "url" : "type",
          "valueCode" : "Patient"
        },
        {
          "url" : "description",
          "valueString" : "The patient to pre-populate the form with"
        }
      ],
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
    },
    {
      "extension" : [
        {
          "url" : "name",
          "valueCoding" : {
            "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
            "code" : "user",
            "display" : "User"
          }
        },
        {
          "url" : "type",
          "valueCode" : "PractitionerRole"
        },
        {
          "url" : "description",
          "valueString" : "The treating physician's PractitionerRole (practitioner + sending organization) to pre-populate the form with"
        }
      ],
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
      "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonName|0.0.1"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
      "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonGeneral|0.0.1"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
      "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireManifestationBeginUnknown|0.0.1"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
      "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTransmissionHow|0.0.1"
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
      "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTreatingPhysician|0.0.1"
    }
  ],
  "url" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpox-fr-CH",
  "version" : "0.0.1",
  "name" : "ChEkmQuestionnaireMpoxfrCH",
  "title" : "CH EKM Questionnaire: Mpox (assembled) (preview fr-CH, pre-expanded)",
  "status" : "active",
  "experimental" : false,
  "subjectType" : [
    "Patient"
  ],
  "date" : "2026-07-14T21:00:26+00:00",
  "publisher" : "Federal Office of Public Health FOPH",
  "contact" : [
    {
      "name" : "Federal Office of Public Health FOPH",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.bag.admin.ch/bag/en/home/das-bag/kontakt-standort.html"
        }
      ]
    }
  ],
  "description" : "GENERATED FILE — do not edit by hand. Assembled from the modular questionnaire ChEkmQuestionnaireMpox and its sub-questionnaires via Questionnaire/$assemble (tests/assemble-questionnaire.sh). Re-run that script after changing any child questionnaire to keep this resource in sync.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "CH"
        }
      ]
    }
  ],
  "copyright" : "CC0-1.0",
  "item" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/variable",
          "valueExpression" : {
            "name" : "homeOrFirstAddress",
            "language" : "text/fhirpath",
            "expression" : "%patient.address.where(use='home').combine(%patient.address).first()"
          }
        }
      ],
      "linkId" : "mpox-form",
      "text" : "Déclaration de résultat clinique : Mpox",
      "type" : "group",
      "item" : [
        {
          "linkId" : "person",
          "text" : "Données relatives à la personne concernée",
          "type" : "group",
          "item" : [
            {
              "linkId" : "surname",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.surname",
              "text" : "Nom",
              "type" : "string",
              "required" : true
            },
            {
              "linkId" : "givenname",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.givenname",
              "text" : "Prénom",
              "type" : "string",
              "required" : true
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%patient.birthDate"
                  }
                }
              ],
              "linkId" : "dateOfBirth",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.dateOfBirth",
              "text" : "Date de naissance",
              "type" : "date",
              "required" : true
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/regex",
                  "valueString" : "^756[0-9]{10}$"
                },
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%patient.identifier.where(system = 'urn:oid:2.16.756.5.32').value.first()"
                  }
                }
              ],
              "linkId" : "ahvn13",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.ahvn13",
              "text" : "Numéro AVS (OASI)",
              "type" : "string",
              "maxLength" : 13
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "drop-down"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%patient.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/patient-citizenship').extension.where(url = 'code').valueCodeableConcept.coding.first()"
                  }
                }
              ],
              "linkId" : "nationality",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.nationality",
              "text" : "Nationalité",
              "type" : "choice",
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CH",
                    "display" : "Suisse"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AL",
                    "display" : "Albanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AD",
                    "display" : "Andorre"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BE",
                    "display" : "Belgique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BG",
                    "display" : "Bulgarie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DK",
                    "display" : "Danemark"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DE",
                    "display" : "Allemagne"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FI",
                    "display" : "Finlande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FR",
                    "display" : "France"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GR",
                    "display" : "Grèce"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GB",
                    "display" : "Royaume-Uni"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IE",
                    "display" : "Irlande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IS",
                    "display" : "Islande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IT",
                    "display" : "Italie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LI",
                    "display" : "Liechtenstein"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LU",
                    "display" : "Luxembourg"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MT",
                    "display" : "Malte"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MC",
                    "display" : "Monaco"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NL",
                    "display" : "Pays-Bas"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NO",
                    "display" : "Norvège"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AT",
                    "display" : "Autriche"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PL",
                    "display" : "Pologne"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PT",
                    "display" : "Portugal"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RO",
                    "display" : "Roumanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SM",
                    "display" : "Saint-Marin"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SE",
                    "display" : "Suède"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ES",
                    "display" : "Espagne"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TR",
                    "display" : "Türkiye"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HU",
                    "display" : "Hongrie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VA",
                    "display" : "Cité du Vatican"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CY",
                    "display" : "Chypre"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SK",
                    "display" : "Slovaquie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CZ",
                    "display" : "Tchéquie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RS",
                    "display" : "Serbie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HR",
                    "display" : "Croatie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SI",
                    "display" : "Slovénie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BA",
                    "display" : "Bosnie et Herzégovine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ME",
                    "display" : "Monténégro"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MK",
                    "display" : "Macédoine du Nord"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "XK",
                    "display" : "Kosovo"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "EE",
                    "display" : "Estonie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LV",
                    "display" : "Lettonie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LT",
                    "display" : "Lituanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MD",
                    "display" : "Moldova"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RU",
                    "display" : "Russie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UA",
                    "display" : "Ukraine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BY",
                    "display" : "Bélarus"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GQ",
                    "display" : "Guinée équatoriale"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ET",
                    "display" : "Éthiopie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DJ",
                    "display" : "Djibouti"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DZ",
                    "display" : "Algérie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AO",
                    "display" : "Angola"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BW",
                    "display" : "Botswana"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BI",
                    "display" : "Burundi"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BJ",
                    "display" : "Bénin"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CI",
                    "display" : "Côte d'Ivoire"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GA",
                    "display" : "Gabon"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GM",
                    "display" : "Gambie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GH",
                    "display" : "Ghana"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GW",
                    "display" : "Guinée-Bissau"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GN",
                    "display" : "Guinée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CM",
                    "display" : "Cameroun"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CV",
                    "display" : "Cabo Verde"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KE",
                    "display" : "Kenya"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KM",
                    "display" : "Comores"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CG",
                    "display" : "Congo (Brazzaville)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CD",
                    "display" : "Congo (Kinshasa)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LS",
                    "display" : "Lesotho"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LR",
                    "display" : "Libéria"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LY",
                    "display" : "Libye"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MG",
                    "display" : "Madagascar"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MW",
                    "display" : "Malawi"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ML",
                    "display" : "Mali"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MA",
                    "display" : "Maroc"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MR",
                    "display" : "Mauritanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MU",
                    "display" : "Maurice"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MZ",
                    "display" : "Mozambique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NE",
                    "display" : "Niger"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NG",
                    "display" : "Nigéria"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BF",
                    "display" : "Burkina Faso"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ZW",
                    "display" : "Zimbabwe"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RW",
                    "display" : "Rwanda"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ZM",
                    "display" : "Zambie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ST",
                    "display" : "Sao Tomé-et-Principe"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SN",
                    "display" : "Sénégal"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SC",
                    "display" : "Seychelles"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SL",
                    "display" : "Sierra Leone"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SO",
                    "display" : "Somalie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ZA",
                    "display" : "Afrique du Sud"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SD",
                    "display" : "Soudan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NA",
                    "display" : "Namibie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SZ",
                    "display" : "Eswatini"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TZ",
                    "display" : "Tanzanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TG",
                    "display" : "Togo"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TD",
                    "display" : "Tchad"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TN",
                    "display" : "Tunisie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UG",
                    "display" : "Ouganda"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "EG",
                    "display" : "Égypte"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CF",
                    "display" : "République centrafricaine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ER",
                    "display" : "Érythrée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SS",
                    "display" : "Soudan du Sud"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AR",
                    "display" : "Argentine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BS",
                    "display" : "Bahamas"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BB",
                    "display" : "Barbade"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BO",
                    "display" : "Bolivie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BR",
                    "display" : "Brésil"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CL",
                    "display" : "Chili"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CR",
                    "display" : "Costa Rica"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DO",
                    "display" : "République dominicaine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "EC",
                    "display" : "Équateur"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SV",
                    "display" : "El Salvador"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GT",
                    "display" : "Guatemala"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GY",
                    "display" : "Guyana"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HT",
                    "display" : "Haïti"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BZ",
                    "display" : "Belize"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HN",
                    "display" : "Honduras"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "JM",
                    "display" : "Jamaïque"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CA",
                    "display" : "Canada"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CO",
                    "display" : "Colombie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CU",
                    "display" : "Cuba"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MX",
                    "display" : "Mexique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NI",
                    "display" : "Nicaragua"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PA",
                    "display" : "Panama"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PY",
                    "display" : "Paraguay"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PE",
                    "display" : "Pérou"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SR",
                    "display" : "Suriname"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TT",
                    "display" : "Trinité-et-Tobago"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UY",
                    "display" : "Uruguay"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VE",
                    "display" : "Venezuela"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "US",
                    "display" : "États-Unis"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DM",
                    "display" : "Dominique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GD",
                    "display" : "Grenade"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AG",
                    "display" : "Antigua-et-Barbuda"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LC",
                    "display" : "Sainte-Lucie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VC",
                    "display" : "Saint-Vincent-et-les Grenadines"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KN",
                    "display" : "Saint-Kitts-et-Nevis"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AF",
                    "display" : "Afghanistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BH",
                    "display" : "Bahreïn"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BT",
                    "display" : "Bhoutan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BN",
                    "display" : "Brunéi Darussalam"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MM",
                    "display" : "Myanmar"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LK",
                    "display" : "Sri Lanka"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CN",
                    "display" : "Chine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IN",
                    "display" : "Inde"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ID",
                    "display" : "Indonésie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IQ",
                    "display" : "Irak"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IR",
                    "display" : "Iran"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IL",
                    "display" : "Israël"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "JP",
                    "display" : "Japon"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "YE",
                    "display" : "Yémen"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "JO",
                    "display" : "Jordanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KH",
                    "display" : "Cambodge"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "QA",
                    "display" : "Qatar"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KW",
                    "display" : "Koweït"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LA",
                    "display" : "Laos"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LB",
                    "display" : "Liban"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MY",
                    "display" : "Malaisie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MV",
                    "display" : "Maldives"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "OM",
                    "display" : "Oman"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MN",
                    "display" : "Mongolie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NP",
                    "display" : "Népal"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KP",
                    "display" : "Corée (Nord)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AE",
                    "display" : "Émirats arabes unis"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PK",
                    "display" : "Pakistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PH",
                    "display" : "Philippines"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SA",
                    "display" : "Arabie saoudite"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SG",
                    "display" : "Singapour"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KR",
                    "display" : "Corée (Sud)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SY",
                    "display" : "Syrie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TH",
                    "display" : "Thaïlande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VN",
                    "display" : "Vietnam"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BD",
                    "display" : "Bangladesh"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TL",
                    "display" : "Timor-Leste"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AM",
                    "display" : "Arménie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AZ",
                    "display" : "Azerbaïdjan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GE",
                    "display" : "Géorgie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KZ",
                    "display" : "Kazakhstan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KG",
                    "display" : "Kirghizistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TJ",
                    "display" : "Tadjikistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TM",
                    "display" : "Turkménistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UZ",
                    "display" : "Ouzbékistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AU",
                    "display" : "Australie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FJ",
                    "display" : "Fidji"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NR",
                    "display" : "Nauru"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VU",
                    "display" : "Vanuatu"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NZ",
                    "display" : "Nouvelle-Zélande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PG",
                    "display" : "Papouasie-Nouvelle-Guinée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TO",
                    "display" : "Tonga"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "WS",
                    "display" : "Samoa"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SB",
                    "display" : "Îles Salomon"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TV",
                    "display" : "Tuvalu"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KI",
                    "display" : "Kiribati"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MH",
                    "display" : "Îles Marshall"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FM",
                    "display" : "Micronésie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PW",
                    "display" : "Palaos"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CK",
                    "display" : "Îles Cook"
                  }
                }
              ]
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                    "language" : "text/fhirpath",
                    "expression" : "%homeOrFirstAddress.postalCode"
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              ],
              "linkId" : "zipCode",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.zipCode",
              "text" : "NPA",
              "type" : "string"
            },
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%homeOrFirstAddress.city"
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                }
              ],
              "linkId" : "city",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.city",
              "text" : "Localité",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
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                  "valueExpression" : {
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                }
              ],
              "linkId" : "country",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.country",
              "text" : "Pays",
              "type" : "choice",
              "answerOption" : [
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                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CH",
                    "display" : "Suisse"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AL",
                    "display" : "Albanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AD",
                    "display" : "Andorre"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BE",
                    "display" : "Belgique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BG",
                    "display" : "Bulgarie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DK",
                    "display" : "Danemark"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DE",
                    "display" : "Allemagne"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FI",
                    "display" : "Finlande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FR",
                    "display" : "France"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GR",
                    "display" : "Grèce"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GB",
                    "display" : "Royaume-Uni"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IE",
                    "display" : "Irlande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IS",
                    "display" : "Islande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IT",
                    "display" : "Italie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LI",
                    "display" : "Liechtenstein"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LU",
                    "display" : "Luxembourg"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MT",
                    "display" : "Malte"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MC",
                    "display" : "Monaco"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NL",
                    "display" : "Pays-Bas"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NO",
                    "display" : "Norvège"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AT",
                    "display" : "Autriche"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PL",
                    "display" : "Pologne"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PT",
                    "display" : "Portugal"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RO",
                    "display" : "Roumanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SM",
                    "display" : "Saint-Marin"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SE",
                    "display" : "Suède"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ES",
                    "display" : "Espagne"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TR",
                    "display" : "Türkiye"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HU",
                    "display" : "Hongrie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VA",
                    "display" : "Cité du Vatican"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CY",
                    "display" : "Chypre"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SK",
                    "display" : "Slovaquie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CZ",
                    "display" : "Tchéquie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RS",
                    "display" : "Serbie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HR",
                    "display" : "Croatie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SI",
                    "display" : "Slovénie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BA",
                    "display" : "Bosnie et Herzégovine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ME",
                    "display" : "Monténégro"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MK",
                    "display" : "Macédoine du Nord"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "XK",
                    "display" : "Kosovo"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "EE",
                    "display" : "Estonie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LV",
                    "display" : "Lettonie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LT",
                    "display" : "Lituanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MD",
                    "display" : "Moldova"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RU",
                    "display" : "Russie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UA",
                    "display" : "Ukraine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BY",
                    "display" : "Bélarus"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GQ",
                    "display" : "Guinée équatoriale"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ET",
                    "display" : "Éthiopie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DJ",
                    "display" : "Djibouti"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DZ",
                    "display" : "Algérie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AO",
                    "display" : "Angola"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BW",
                    "display" : "Botswana"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BI",
                    "display" : "Burundi"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BJ",
                    "display" : "Bénin"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CI",
                    "display" : "Côte d'Ivoire"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GA",
                    "display" : "Gabon"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GM",
                    "display" : "Gambie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GH",
                    "display" : "Ghana"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GW",
                    "display" : "Guinée-Bissau"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GN",
                    "display" : "Guinée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CM",
                    "display" : "Cameroun"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CV",
                    "display" : "Cabo Verde"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KE",
                    "display" : "Kenya"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KM",
                    "display" : "Comores"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CG",
                    "display" : "Congo (Brazzaville)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CD",
                    "display" : "Congo (Kinshasa)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LS",
                    "display" : "Lesotho"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LR",
                    "display" : "Libéria"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LY",
                    "display" : "Libye"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MG",
                    "display" : "Madagascar"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MW",
                    "display" : "Malawi"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ML",
                    "display" : "Mali"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MA",
                    "display" : "Maroc"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MR",
                    "display" : "Mauritanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MU",
                    "display" : "Maurice"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MZ",
                    "display" : "Mozambique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NE",
                    "display" : "Niger"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NG",
                    "display" : "Nigéria"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BF",
                    "display" : "Burkina Faso"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ZW",
                    "display" : "Zimbabwe"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "RW",
                    "display" : "Rwanda"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ZM",
                    "display" : "Zambie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ST",
                    "display" : "Sao Tomé-et-Principe"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SN",
                    "display" : "Sénégal"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SC",
                    "display" : "Seychelles"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SL",
                    "display" : "Sierra Leone"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SO",
                    "display" : "Somalie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ZA",
                    "display" : "Afrique du Sud"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SD",
                    "display" : "Soudan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NA",
                    "display" : "Namibie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SZ",
                    "display" : "Eswatini"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TZ",
                    "display" : "Tanzanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TG",
                    "display" : "Togo"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TD",
                    "display" : "Tchad"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TN",
                    "display" : "Tunisie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UG",
                    "display" : "Ouganda"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "EG",
                    "display" : "Égypte"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CF",
                    "display" : "République centrafricaine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ER",
                    "display" : "Érythrée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SS",
                    "display" : "Soudan du Sud"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AR",
                    "display" : "Argentine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BS",
                    "display" : "Bahamas"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BB",
                    "display" : "Barbade"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BO",
                    "display" : "Bolivie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BR",
                    "display" : "Brésil"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CL",
                    "display" : "Chili"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CR",
                    "display" : "Costa Rica"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DO",
                    "display" : "République dominicaine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "EC",
                    "display" : "Équateur"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SV",
                    "display" : "El Salvador"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GT",
                    "display" : "Guatemala"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GY",
                    "display" : "Guyana"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HT",
                    "display" : "Haïti"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BZ",
                    "display" : "Belize"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "HN",
                    "display" : "Honduras"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "JM",
                    "display" : "Jamaïque"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CA",
                    "display" : "Canada"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CO",
                    "display" : "Colombie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CU",
                    "display" : "Cuba"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MX",
                    "display" : "Mexique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NI",
                    "display" : "Nicaragua"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PA",
                    "display" : "Panama"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PY",
                    "display" : "Paraguay"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PE",
                    "display" : "Pérou"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SR",
                    "display" : "Suriname"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TT",
                    "display" : "Trinité-et-Tobago"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UY",
                    "display" : "Uruguay"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VE",
                    "display" : "Venezuela"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "US",
                    "display" : "États-Unis"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "DM",
                    "display" : "Dominique"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GD",
                    "display" : "Grenade"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AG",
                    "display" : "Antigua-et-Barbuda"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LC",
                    "display" : "Sainte-Lucie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VC",
                    "display" : "Saint-Vincent-et-les Grenadines"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KN",
                    "display" : "Saint-Kitts-et-Nevis"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AF",
                    "display" : "Afghanistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BH",
                    "display" : "Bahreïn"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BT",
                    "display" : "Bhoutan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BN",
                    "display" : "Brunéi Darussalam"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MM",
                    "display" : "Myanmar"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LK",
                    "display" : "Sri Lanka"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CN",
                    "display" : "Chine"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IN",
                    "display" : "Inde"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "ID",
                    "display" : "Indonésie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IQ",
                    "display" : "Irak"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IR",
                    "display" : "Iran"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "IL",
                    "display" : "Israël"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "JP",
                    "display" : "Japon"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "YE",
                    "display" : "Yémen"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "JO",
                    "display" : "Jordanie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KH",
                    "display" : "Cambodge"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "QA",
                    "display" : "Qatar"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KW",
                    "display" : "Koweït"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LA",
                    "display" : "Laos"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "LB",
                    "display" : "Liban"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MY",
                    "display" : "Malaisie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MV",
                    "display" : "Maldives"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "OM",
                    "display" : "Oman"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MN",
                    "display" : "Mongolie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NP",
                    "display" : "Népal"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KP",
                    "display" : "Corée (Nord)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AE",
                    "display" : "Émirats arabes unis"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PK",
                    "display" : "Pakistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PH",
                    "display" : "Philippines"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SA",
                    "display" : "Arabie saoudite"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SG",
                    "display" : "Singapour"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KR",
                    "display" : "Corée (Sud)"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SY",
                    "display" : "Syrie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TH",
                    "display" : "Thaïlande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VN",
                    "display" : "Vietnam"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "BD",
                    "display" : "Bangladesh"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TL",
                    "display" : "Timor-Leste"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AM",
                    "display" : "Arménie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AZ",
                    "display" : "Azerbaïdjan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "GE",
                    "display" : "Géorgie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KZ",
                    "display" : "Kazakhstan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KG",
                    "display" : "Kirghizistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TJ",
                    "display" : "Tadjikistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TM",
                    "display" : "Turkménistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "UZ",
                    "display" : "Ouzbékistan"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "AU",
                    "display" : "Australie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FJ",
                    "display" : "Fidji"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NR",
                    "display" : "Nauru"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "VU",
                    "display" : "Vanuatu"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "NZ",
                    "display" : "Nouvelle-Zélande"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PG",
                    "display" : "Papouasie-Nouvelle-Guinée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TO",
                    "display" : "Tonga"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "WS",
                    "display" : "Samoa"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "SB",
                    "display" : "Îles Salomon"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "TV",
                    "display" : "Tuvalu"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "KI",
                    "display" : "Kiribati"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "MH",
                    "display" : "Îles Marshall"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "FM",
                    "display" : "Micronésie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "PW",
                    "display" : "Palaos"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CK",
                    "display" : "Îles Cook"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%homeOrFirstAddress.state"
                  }
                }
              ],
              "linkId" : "canton",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.canton",
              "text" : "Canton",
              "type" : "open-choice",
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "AG"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "AR"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "AI"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "BL"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "BS"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "BE"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "FR"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "GE"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "GL"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "GR"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "JU"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "LU"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "NE"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "NW"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "OW"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "SH"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "SZ"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "SO"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "SG"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "TI"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "TG"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "UR"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "VD"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "VS"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "ZG"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-7-cantonflabbreviation",
                    "code" : "ZH"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode" : "horizontal"
                },
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%patient.gender"
                  }
                }
              ],
              "linkId" : "administrativeGender",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.administrativeGender",
              "text" : "Sexe",
              "type" : "choice",
              "required" : true,
              "_answerValueSet" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "name",
                        "valueCode" : "useSupplement"
                      },
                      {
                        "url" : "expression",
                        "valueString" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-administrative-gender-language-supplement"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter"
                  }
                ]
              },
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://hl7.org/fhir/administrative-gender",
                    "code" : "male",
                    "display" : "masculin"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://hl7.org/fhir/administrative-gender",
                    "code" : "female",
                    "display" : "féminin"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://hl7.org/fhir/administrative-gender",
                    "code" : "other",
                    "display" : "autre"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://hl7.org/fhir/administrative-gender",
                    "code" : "unknown",
                    "display" : "inconnu"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "manifestation-group",
          "text" : "Diagnostic et manifestation",
          "type" : "group",
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode" : "horizontal"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "manifestation",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation",
              "text" : "Manifestations",
              "type" : "choice",
              "_answerValueSet" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "name",
                        "valueCode" : "useSupplement"
                      },
                      {
                        "url" : "expression",
                        "valueString" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-snomed-language-supplement"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter"
                  }
                ]
              },
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "74964007",
                    "display" : "Other"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373572006",
                    "display" : "Clinical finding absent"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "261665006",
                    "display" : "Unknown"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "95324001:{363698007=280158000}",
                    "display" : "Lésion cutanée de la région anogénitale"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "95324001:{363698007=73897004}",
                    "display" : "Lésion cutanée du visage"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "95324001:{363698007=116370005}",
                    "display" : "Lésion cutanée des extrémités"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "95324001",
                    "display" : "Lésion cutanée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "30746006",
                    "display" : "Lymphadénopathie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "68962001",
                    "display" : "Myalgie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "25064002",
                    "display" : "Céphalée"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "161891005",
                    "display" : "Dorsalgie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "13791008",
                    "display" : "Asthénie"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "386661006",
                    "display" : "Fièvre"
                  }
                }
              ]
            },
            {
              "linkId" : "manifestationBeginUnknown",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmManifestationForm#ChEkmManifestationForm.manifestationBeginUnknown",
              "text" : "Début des manifestations inconnu",
              "type" : "boolean",
              "initial" : [
                {
                  "valueBoolean" : false
                }
              ]
            },
            {
              "linkId" : "manifestationBeginDate",
              "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmManifestationForm#ChEkmManifestationForm.manifestationBeginDate",
              "text" : "Début des manifestations (date)",
              "type" : "date",
              "enableWhen" : [
                {
                  "question" : "manifestationBeginUnknown",
                  "operator" : "=",
                  "answerBoolean" : false
                }
              ]
            }
          ]
        },
        {
          "linkId" : "exposure",
          "text" : "Exposition",
          "type" : "group",
          "item" : [
            {
              "linkId" : "transmission",
              "text" : "Comment (voie de transmission)",
              "type" : "group",
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "radio-button"
                          }
                        ]
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode" : "horizontal"
                    }
                  ],
                  "linkId" : "sexualContactPartner",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner",
                  "text" : "Rapport sexuel avec une personne infectée (sexe)",
                  "type" : "choice",
                  "answerOption" : [
                    {
                      "valueCoding" : {
                        "system" : "http://hl7.org/fhir/administrative-gender",
                        "code" : "male",
                        "display" : "masculin"
                      }
                    },
                    {
                      "valueCoding" : {
                        "system" : "http://hl7.org/fhir/administrative-gender",
                        "code" : "female",
                        "display" : "féminin"
                      }
                    },
                    {
                      "valueCoding" : {
                        "system" : "http://hl7.org/fhir/administrative-gender",
                        "code" : "other",
                        "display" : "autre"
                      }
                    },
                    {
                      "valueCoding" : {
                        "system" : "http://hl7.org/fhir/administrative-gender",
                        "code" : "unknown",
                        "display" : "inconnu"
                      }
                    }
                  ]
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "radio-button"
                          }
                        ]
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode" : "horizontal"
                    }
                  ],
                  "linkId" : "relationshipType",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.relationshipType",
                  "text" : "Type de relation",
                  "type" : "choice",
                  "answerOption" : [
                    {
                      "valueCoding" : {
                        "system" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type",
                        "code" : "steady-partner",
                        "display" : "Partenaire stable"
                      }
                    },
                    {
                      "valueCoding" : {
                        "system" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type",
                        "code" : "non-steady-partner",
                        "display" : "Partenaire non stable"
                      }
                    },
                    {
                      "valueCoding" : {
                        "system" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type",
                        "code" : "offered-paid-sex",
                        "display" : "Offre de sexe rémunéré"
                      }
                    },
                    {
                      "valueCoding" : {
                        "system" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type",
                        "code" : "used-paid-sex",
                        "display" : "Recours à du sexe rémunéré"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "otherTransmission",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission",
                  "text" : "Autre voie de transmission (texte libre)",
                  "type" : "string"
                },
                {
                  "linkId" : "unknown",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.unknown",
                  "text" : "Voie de transmission inconnue",
                  "type" : "boolean"
                }
              ]
            }
          ]
        },
        {
          "linkId" : "treatingPhysician",
          "text" : "Médecin traitant",
          "type" : "group",
          "item" : [
            {
              "linkId" : "treatingPhysicianPractitioner",
              "text" : "Médecin traitant",
              "type" : "group",
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().name.first().given.first()"
                      }
                    }
                  ],
                  "linkId" : "physicianGivenname",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.givenname",
                  "text" : "Prénom",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().name.first().family"
                      }
                    }
                  ],
                  "linkId" : "physicianSurname",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.surname",
                  "text" : "Nom",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().line.first()"
                      }
                    }
                  ],
                  "linkId" : "physicianStreetLine",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.streetLine",
                  "text" : "Adresse (rue, numéro)",
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().postalCode"
                      }
                    }
                  ],
                  "linkId" : "physicianZipCode",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.zipCode",
                  "text" : "NPA",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().city"
                      }
                    }
                  ],
                  "linkId" : "physicianCity",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.city",
                  "text" : "Localité",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().telecom.where(system='phone').value.first()"
                      }
                    }
                  ],
                  "linkId" : "physicianPhone",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.phone",
                  "text" : "Numéro de téléphone",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().telecom.where(system='email').value.first()"
                      }
                    }
                  ],
                  "linkId" : "physicianEmail",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.email",
                  "text" : "E-mail",
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.practitioner.resolve().identifier.where(system='urn:oid:2.51.1.3').value.first()"
                      }
                    }
                  ],
                  "linkId" : "physicianGln",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.gln",
                  "text" : "GLN",
                  "type" : "string"
                }
              ]
            },
            {
              "linkId" : "treatingPhysicianOrganization",
              "text" : "Organisation émettrice",
              "type" : "group",
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().name"
                      }
                    }
                  ],
                  "linkId" : "orgName",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.name",
                  "text" : "Nom",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().extension.where(url='http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-department').valueString"
                      }
                    }
                  ],
                  "linkId" : "orgDepartment",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.department",
                  "text" : "Service",
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().address.first().line.first()"
                      }
                    }
                  ],
                  "linkId" : "orgStreetLine",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.streetLine",
                  "text" : "Adresse (rue, numéro)",
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().address.first().postalCode"
                      }
                    }
                  ],
                  "linkId" : "orgZipCode",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.zipCode",
                  "text" : "NPA",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().address.first().city"
                      }
                    }
                  ],
                  "linkId" : "orgCity",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.city",
                  "text" : "Localité",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().telecom.where(system='phone').value.first()"
                      }
                    }
                  ],
                  "linkId" : "orgPhone",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.phone",
                  "text" : "Numéro de téléphone",
                  "type" : "string",
                  "required" : true
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().telecom.where(system='email').value.first()"
                      }
                    }
                  ],
                  "linkId" : "orgEmail",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.email",
                  "text" : "E-mail",
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().identifier.where(system='urn:oid:2.16.756.5.45').value.first()"
                      }
                    }
                  ],
                  "linkId" : "orgBer",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.ber",
                  "text" : "REE",
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                      "valueExpression" : {
                        "language" : "text/fhirpath",
                        "expression" : "%user.organization.resolve().identifier.where(system='urn:oid:2.51.1.3').value.first()"
                      }
                    }
                  ],
                  "linkId" : "orgGln",
                  "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.gln",
                  "text" : "GLN",
                  "type" : "string"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}