<status value="active" /> <date value="2021-12-27" /> <publisher value="HCX Working Group" /> <contact> <name value="HCX Working Group" /> <telecom> <system value="email" /> <value value="tbd@hcx.org.in" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="Extension to provide questionnaires for HCX requests." /> <purpose value="Extension to provide questionnaires for HCX requests." /> <copyright value="TBD" /> <fhirVersion value="4.0.1" /> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="InsurancePlan.plan.specificCost.benefit" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="Add a Questionnaire." /> <definition value="Add a Questionnaire." /> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Extension.extension:Questionnaire"> <path value="Extension.extension" /> <sliceName value="questionnaire" /> <short value="Questionnaire" /> <definition value="Questionnaire" /> <min value="1" /> <max value="*" /> </element> <element id="Extension.extension:Questionnaire.url"> <path value="Extension.extension.url" /> <fixedUri value="Questionnaire" /> </element> <element id="Extension.extension:Questionnaire.value[x]"> <path value="Extension.extension.value[x]" /> <short value="Questionnaire Reference" /> <definition value="Questionnaire Reference" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire" /> </type> </element> <element id="Extension.extension:RequiredFlag"> <path value="Extension.extension" /> <sliceName value="required" /> <short value="Required Flag" /> <definition value="Indicates whether the document is required" /> <max value="1" /> </element> <element id="Extension.extension:RequiredFlag.url"> <path value="Extension.extension.url" /> <fixedUri value="ClinicalDiagnosticDocumentRequiredFlag" /> </element> <element id="Extension.extension:RequiredFlag.value[x]"> <path value="Extension.extension.value[x]" /> <short value="Document Required Flag" /> <definition value="Document Required Flag" /> <min value="1" /> <type> <code value="boolean" /> </type> </element> <element id="Extension.extension:ClaimUse"> <path value="Extension.extension" /> <sliceName value="claimUse" /> <short value="Claim use code" /> <definition value="Indicates which stage of the claim that the document is required" /> <max value="1" /> </element> <element id="Extension.extension:ClaimUse.url"> <path value="Extension.extension.url" /> <fixedUri value="ClinicalDiagnosticDocumentClaimUse" /> </element> <element id="Extension.extension:ClaimUse.value[x]"> <path value="Extension.extension.value[x]" /> <short value="Claim use code" /> <definition value="Claim use code" /> <min value="1" /> <type> <code value="code" /> </type> <binding> <strength value="preferred" /> <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.0.1" /> </binding> </element> <element id="Extension.extension:DocumentationUrl"> <path value="Extension.extension" /> <sliceName value="documentationUrl" /> <short value="Required Flag" /> <definition value="Indicates whether the document is required" /> <max value="1" /> </element> <element id="Extension.extension:DocumentationUrl.url"> <path value="Extension.extension.url" /> <fixedUri value="DocumentationUrl" /> </element> <element id="Extension.extension:DocumentationUrl.value[x]"> <path value="Extension.extension.value[x]" /> <short value="Documention URL" /> <definition value="Documention URL" /> <min value="1" /> <type> <code value="url" /> </type> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://hcx-base-url/StructureDefinition/HCXQuestionnairesExtension" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <max value="0" /> </element> </differential> </StructureDefinition>