{
  "resourceType": "StructureDefinition",
  "id": "psych-befund-questionnaire",
  "url": "http://charite.de/fhir/psycho/StructureDefinition/psych-befund-questionnaire",
  "name": "PsychQuestionnaire",
  "title": "Profil für Psychiatrische Instrumente und Befunde",
  "status": "draft",
  "description": "Ein allgemeines Profil für psychiatrische Instrumente und Befunde, basierend auf strukturierten Fragebögen zur Erhebung von Symptomen und Diagnosen.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "objimpl",
      "uri": "http://hl7.org/fhir/object-implementation",
      "name": "Object Implementation Information"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Questionnaire",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Questionnaire.language",
        "path": "Questionnaire.language",
        "patternCode": "de-DE"
      },
      {
        "id": "Questionnaire.extension.extension",
        "path": "Questionnaire.extension.extension",
        "max": "0"
      },
      {
        "id": "Questionnaire.extension.url",
        "path": "Questionnaire.extension.url",
        "patternUri": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
      },
      {
        "id": "Questionnaire.extension.value[x]",
        "path": "Questionnaire.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Questionnaire.extension.value[x]:valueExpression",
        "path": "Questionnaire.extension.value[x]",
        "sliceName": "valueExpression",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Expression"
          }
        ]
      },
      {
        "id": "Questionnaire.extension.value[x]:valueExpression.description",
        "path": "Questionnaire.extension.value[x].description",
        "patternString": "Summierte Punktzahl der Antworten"
      },
      {
        "id": "Questionnaire.extension.value[x]:valueExpression.language",
        "path": "Questionnaire.extension.value[x].language",
        "patternCode": "text/fhirpath"
      },
      {
        "id": "Questionnaire.extension.value[x]:valueExpression.expression",
        "path": "Questionnaire.extension.value[x].expression",
        "patternString": "%resource.item.where(linkId!='total-score').answer.value.ordinal().sum()"
      },
      {
        "id": "Questionnaire.status",
        "path": "Questionnaire.status",
        "patternCode": "active"
      },
      {
        "id": "Questionnaire.subjectType",
        "path": "Questionnaire.subjectType",
        "patternCode": "Patient"
      },
      {
        "id": "Questionnaire.code",
        "path": "Questionnaire.code",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 3
      },
      {
        "id": "Questionnaire.code:snomed",
        "path": "Questionnaire.code",
        "sliceName": "snomed",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "443173002",
          "system": "http://snomed.info/sct",
          "display": "Health assessment questionnaire (assessment scale)"
        }
      },
      {
        "id": "Questionnaire.code:loinc",
        "path": "Questionnaire.code",
        "sliceName": "loinc",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "93029-9",
          "system": "http://loinc.org",
          "display": "Mental health assessment panel"
        }
      },
      {
        "id": "Questionnaire.code:nci",
        "path": "Questionnaire.code",
        "sliceName": "nci",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "C95401",
          "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
          "display": "Patient Reported Outcome"
        }
      },
      {
        "id": "Questionnaire.item",
        "path": "Questionnaire.item",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "item.linkId"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Questionnaire.item.linkId",
        "path": "Questionnaire.item.linkId",
        "mustSupport": true
      },
      {
        "id": "Questionnaire.item.code",
        "path": "Questionnaire.item.code",
        "mustSupport": true
      },
      {
        "id": "Questionnaire.item.text",
        "path": "Questionnaire.item.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Questionnaire.item.type",
        "path": "Questionnaire.item.type",
        "binding": {
          "strength": "required",
          "valueSet": "http://charite.de/fhir/psycho/ValueSet/ItemType"
        }
      },
      {
        "id": "Questionnaire.item.answerOption.extension",
        "path": "Questionnaire.item.answerOption.extension",
        "max": "1"
      },
      {
        "id": "Questionnaire.item.answerOption.extension.extension",
        "path": "Questionnaire.item.answerOption.extension.extension",
        "max": "0"
      },
      {
        "id": "Questionnaire.item.answerOption.extension.url",
        "path": "Questionnaire.item.answerOption.extension.url",
        "patternUri": "http://hl7.org/fhir/StructureDefinition/ordinalValue"
      },
      {
        "id": "Questionnaire.item.answerOption.extension.value[x]",
        "path": "Questionnaire.item.answerOption.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Questionnaire.item.answerOption.extension.value[x]:valueDecimal",
        "path": "Questionnaire.item.answerOption.extension.value[x]",
        "sliceName": "valueDecimal",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "Questionnaire.item.answerOption.value[x]",
        "path": "Questionnaire.item.answerOption.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Questionnaire.item.answerOption.value[x]:valueCoding",
        "path": "Questionnaire.item.answerOption.value[x]",
        "sliceName": "valueCoding",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Questionnaire.item.answerOption.value[x]:valueCoding.system",
        "path": "Questionnaire.item.answerOption.value[x].system",
        "min": 1
      },
      {
        "id": "Questionnaire.item.answerOption.value[x]:valueCoding.code",
        "path": "Questionnaire.item.answerOption.value[x].code",
        "min": 1
      },
      {
        "id": "Questionnaire.item.answerOption.value[x]:valueCoding.display",
        "path": "Questionnaire.item.answerOption.value[x].display",
        "min": 1
      },
      {
        "id": "Questionnaire.item:assessment-summary",
        "path": "Questionnaire.item",
        "sliceName": "assessment-summary",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Questionnaire.item:assessment-summary.extension",
        "path": "Questionnaire.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Questionnaire.item:assessment-summary.extension:calculatedExpression",
        "path": "Questionnaire.item.extension",
        "sliceName": "calculatedExpression",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
            ]
          }
        ]
      },
      {
        "id": "Questionnaire.item:assessment-summary.extension:calculatedExpression.extension",
        "path": "Questionnaire.item.extension.extension",
        "max": "0"
      },
      {
        "id": "Questionnaire.item:assessment-summary.extension:calculatedExpression.value[x].description",
        "path": "Questionnaire.item.extension.value[x].description",
        "patternString": "Berechnung der Gesamtpunktzahl"
      },
      {
        "id": "Questionnaire.item:assessment-summary.extension:calculatedExpression.value[x].expression",
        "path": "Questionnaire.item.extension.value[x].expression",
        "patternString": "%resource.item.answer.value.ordinal().sum()"
      },
      {
        "id": "Questionnaire.item:assessment-summary.linkId",
        "path": "Questionnaire.item.linkId",
        "patternString": "assessment-summary"
      },
      {
        "id": "Questionnaire.item:assessment-summary.code",
        "path": "Questionnaire.item.code",
        "patternCoding": {
          "code": "782487009",
          "system": "http://snomed.info/sct",
          "display": "Health assessment questionnaire score"
        }
      },
      {
        "id": "Questionnaire.item:assessment-summary.text",
        "path": "Questionnaire.item.text",
        "patternString": "Gesamtpunktzahl des Fragebogens"
      },
      {
        "id": "Questionnaire.item:assessment-summary.type",
        "path": "Questionnaire.item.type",
        "patternCode": "quantity"
      },
      {
        "id": "Questionnaire.item:assessment-summary.answerOption.extension.extension",
        "path": "Questionnaire.item.answerOption.extension.extension",
        "max": "0"
      }
    ]
  }
}