<status value="active" /> <publisher value="NHS Wales" /> <contact> <name value="Data Standards" /> <telecom> <system value="email" /> <value value="data.standards@wales.nhs.uk" /> <use value="work" /> </telecom> </contact> <description value="Outcome of a PROMs collection event. Contains PROMs answers and scores." /> <copyright value="© 2023 NHS Wales." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="PROMs-Metadata-2024004" /> <name value="NHS Wales DSCN Metadata Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="QuestionnaireResponse" /> <baseDefinition value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-QuestionnaireResponse" /> <derivation value="constraint" /> <differential> <element id="QuestionnaireResponse.language"> <path value="QuestionnaireResponse.language" /> <short value="PROMs Language" /> <definition value="The code representing the language of the completed PROMs form." /> <min value="1" /> <binding> <strength value="required" /> <description value="PSOM Language" /> <valueSet value="https://fhir.nhs.wales/ValueSet/DataStandardsWales-PSOM-Language" /> </binding> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX008X" /> <comment value="PROMs Language" /> </mapping> </element> <element id="QuestionnaireResponse.identifier"> <path value="QuestionnaireResponse.identifier" /> <min value="1" /> </element> <element id="QuestionnaireResponse.identifier.system"> <path value="QuestionnaireResponse.identifier.system" /> <min value="1" /> </element> <element id="QuestionnaireResponse.identifier.value"> <path value="QuestionnaireResponse.identifier.value" /> <min value="1" /> </element> <element id="QuestionnaireResponse.identifier.assigner"> <path value="QuestionnaireResponse.identifier.assigner" /> <short value="Originating System" /> <definition value="Originating System. For PROMs, this would be the PROMs platform that collects the PROMs information from the patient, e.g. DrDoctor, PKB, Amplitude, National Platform, etc." /> <comment value="The `.identifier.assigner` may omit the `.reference` element and only contain an `.identifier` or `.display` element reflecting the identifier and/or name or other textual information about the originating system." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" /> </type> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MDDPX001X" /> <comment value="Originating System (implicit, main mapping is on Organization.identifier)" /> </mapping> </element> <element id="QuestionnaireResponse.questionnaire"> <path value="QuestionnaireResponse.questionnaire" /> <short value="(Local) PROMs Tool" /> <definition value="The Questionnaire that defines and organises the questions for which answers are being provided. A reference to the canonical identifier including the `.version` (MPRPX012X) of the PROMs Tool SHALL be implemented, to specify the correct version." /> <min value="1" /> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX006X" /> <comment value="PROMs Tool (implicit, main mapping is on Questionnaire.url)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX010X" /> <comment value="Local PROMs Tool (implicit, main mapping is on Questionnaire.url)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX012X" /> <comment value="PROMs Data Standard Version (implicit, main mapping is on Questionnaire.version)" /> </mapping> </element> <element id="QuestionnaireResponse.subject"> <path value="QuestionnaireResponse.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="QuestionnaireResponse.authored"> <path value="QuestionnaireResponse.authored" /> <short value="PROMs Completion Date & Time" /> <definition value="The date and time the PROMs form was completed (or when the last item was recorded for incomplete records)." /> <min value="1" /> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX003X" /> <comment value="PROMs Completion Date & Time" /> </mapping> </element> <element id="QuestionnaireResponse.item.linkId.extension:sensitivityFlag"> <path value="QuestionnaireResponse.item.linkId.extension" /> <sliceName value="sensitivityFlag" /> <short value="Sensitivity flag" /> <definition value="An extension to flag questions as sensitive, allowing for the identification and special handling of potentially privacy-sensitive information within a questionnaire." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label" /> </type> <isModifier value="false" /> </element> <element id="QuestionnaireResponse.item.linkId.extension:sensitivityFlag.value[x]:valueCoding"> <path value="QuestionnaireResponse.item.linkId.extension.value[x]" /> <sliceName value="valueCoding" /> <binding> <strength value="required" /> <description value="Sensitivity policy" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy" /> </binding> </element> </differential> </StructureDefinition>