<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://cgm.com/fhir/his/medico/r4/sd/pip/QuestionnaireResponse_PiPQuestionnaireResponse_1" />
  <name value="QuestionnaireResponse_PiPQuestionnaireResponse_1" />
  <status value="draft" />
  <description value="This profile describes the QuestionnaireResponse related data to be exchanged with Patient Portal." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="QuestionnaireResponse" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" />
  <derivation value="constraint" />
  <differential>
    <element id="QuestionnaireResponse.id">
      <path value="QuestionnaireResponse.id" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.meta">
      <path value="QuestionnaireResponse.meta" />
      <min value="1" />
    </element>
    <element id="QuestionnaireResponse.meta.lastUpdated">
      <path value="QuestionnaireResponse.meta.lastUpdated" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.meta.profile">
      <path value="QuestionnaireResponse.meta.profile" />
      <min value="1" />
      <max value="1" />
      <fixedCanonical value="https://cgm.com/fhir/his/medico/r4/sd/pip/QuestionnaireResponse_PiPQuestionnaireResponse_1" />
    </element>
    <element id="QuestionnaireResponse.contained">
      <path value="QuestionnaireResponse.contained" />
      <short value="A structured set of questions" />
      <definition value="A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection." />
      <alias value="inline resources" />
      <alias value="anonymous resources" />
      <alias value="contained resources" />
      <alias value="Form" />
      <alias value="CRF" />
      <alias value="Survey" />
      <type>
        <code value="Resource" />
        <profile value="https://cgm.com/fhir/his/medico/r4/sd/pip/Questionnaire_PiPQuestionnaire_1" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="que-2" />
        <severity value="error" />
        <human value="The link ids for groups and questions must be unique within the questionnaire" />
        <expression value="descendants().linkId.isDistinct()" />
        <xpath value="count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Questionnaire" />
      </constraint>
      <constraint>
        <key value="que-0" />
        <severity value="warning" />
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation" />
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')" />
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')" />
        <source value="http://hl7.org/fhir/StructureDefinition/Questionnaire" />
      </constraint>
      <mustSupport value="true" />
      <min value="1" />
      <max value="1" />
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Definition" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[moodCode=DEF]" />
      </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.questionnaire">
      <path value="QuestionnaireResponse.questionnaire" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.subject">
      <path value="QuestionnaireResponse.subject" />
      <min value="1" />
    </element>
    <element id="QuestionnaireResponse.subject.reference">
      <path value="QuestionnaireResponse.subject.reference" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.encounter">
      <path value="QuestionnaireResponse.encounter" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.encounter.reference">
      <path value="QuestionnaireResponse.encounter.reference" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.authored">
      <path value="QuestionnaireResponse.authored" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.author">
      <path value="QuestionnaireResponse.author" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
    </element>
    <element id="QuestionnaireResponse.item">
      <path value="QuestionnaireResponse.item" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.item.text">
      <path value="QuestionnaireResponse.item.text" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.item.answer">
      <path value="QuestionnaireResponse.item.answer" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.item.answer.item">
      <path value="QuestionnaireResponse.item.answer.item" />
      <mustSupport value="true" />
    </element>
    <element id="QuestionnaireResponse.item.item">
      <path value="QuestionnaireResponse.item.item" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>