<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="spark1" />
  <meta>
    <versionId value="spark1" />
    <lastUpdated value="2015-10-02T14:03:34.14+00:00" />
  </meta>
  <text>
    <status value="empty" />
    <div xmlns="http://www.w3.org/1999/xhtml"></div>
  </text>
  <contained>
    <ValueSet>
      <id value="margin-status" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/margin-status" />
        <caseSensitive value="true" />
        <concept>
          <code value="M1" />
          <display value="Margins univolved by tumor" />
        </concept>
        <concept>
          <code value="M2" />
          <display value="Margin(s) involved by tumor" />
        </concept>
        <concept>
          <code value="M3" />
          <display value="Cannot be determined" />
        </concept>
        <concept>
          <code value="M4" />
          <display value="Not applicable" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="margin-distance" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/margin-distance" />
        <concept>
          <code value="D1" />
          <display value="Specify (mm)" />
        </concept>
        <concept>
          <code value="D2" />
          <display value="Cannot be assessed (explain)" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="margin" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/margin" />
        <concept>
          <code value="W1" />
          <display value="Specify margin" />
        </concept>
        <concept>
          <code value="W2" />
          <display value="Cannot be determined (explain)" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="involved-margins" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/involved-margins" />
        <concept>
          <code value="I1" />
          <display value="Specify margin(s)" />
        </concept>
        <concept>
          <code value="I2" />
          <display value="Cannot be determined (explain)" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="effect" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/treatment-effect" />
        <concept>
          <code value="E1" />
          <display value="Not identified" />
        </concept>
        <concept>
          <code value="E2" />
          <display value="Present (specify)" />
        </concept>
        <concept>
          <code value="E3" />
          <display value="Indeterminate" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="tumor" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/tumor-description" />
        <concept>
          <code value="U1" />
          <display value="Hemorrhagic" />
        </concept>
        <concept>
          <code value="U2" />
          <display value="Necrotic" />
        </concept>
        <concept>
          <code value="U3" />
          <display value="Invasion" />
        </concept>
        <concept>
          <code value="U4" />
          <display value="Other (specify)" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="invasion" />
      <status value="active" />
      <codeSystem>
        <system value="http://cap.org/example/fhir/tumor-invasion" />
        <concept>
          <code value="V1" />
          <display value="Capsule" />
        </concept>
        <concept>
          <code value="V2" />
          <display value="Vessels" />
        </concept>
        <concept>
          <code value="V3" />
          <display value="Extra-adrenal (specify)" />
        </concept>
      </codeSystem>
    </ValueSet>
  </contained>
  <status value="published" />
  <group>
    <linkId value="root" />
    <title value="(Ask Richard)" />
    <required value="true" />
    <repeats value="false" />
    <group>
      <linkId value="1" />
      <title value="MARGINS" />
      <required value="true" />
      <repeats value="false" />
      <question>
        <linkId value="1.1" />
        <text value="Status of surgical margin involvement by tumor (observable entity)" />
        <type value="choice" />
        <required value="true" />
        <repeats value="false" />
        <options>
          <reference value="#margin-status" />
        </options>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="1.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/margin-status" />
                <code value="M1" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="1.1.1" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <linkId value="1.1.1.1" />
            <text value="Distance from Closest Margin" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <options>
              <reference value="#margin-distance" />
            </options>
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="1.1.1.1" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/margin-distance" />
                    <code value="D1" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="1.1.1.1.1" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
                  <valueDecimal value="0.01" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                  <valueDecimal value="1000" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces">
                  <valueInteger value="2" />
                </extension>
                <linkId value="1.1.1.1.1.1" />
                <text value="Specify (mm)" />
                <type value="decimal" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="1.1.1.1" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/margin-distance" />
                    <code value="D2" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="1.1.1.1.2" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
                  <valueInteger value="4000" />
                </extension>
                <linkId value="1.1.1.1.2.1" />
                <text value="Cannot be assessed (explain)" />
                <type value="string" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
          </question>
          <question>
            <linkId value="1.1.1.2" />
            <text value="Specify Margin, if possible" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <options>
              <reference value="#margin" />
            </options>
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="1.1.1.2" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/margin" />
                    <code value="W1" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="1.1.1.2.1" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
                  <valueInteger value="4000" />
                </extension>
                <linkId value="1.1.1.2.1.1" />
                <text value="Specify margin" />
                <type value="string" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="1.1.1.2" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/margin" />
                    <code value="W2" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="1.1.1.2.2" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
                  <valueInteger value="4000" />
                </extension>
                <linkId value="1.1.1.2.2.1" />
                <text value="Cannot be determined (explain)" />
                <type value="string" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
          </question>
        </group>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="1.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/margin-status" />
                <code value="M2" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="1.1.2" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <linkId value="1.1.2.1" />
            <text value="Specify Margin(s), if possible" />
            <type value="choice" />
            <required value="true" />
            <repeats value="false" />
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="1.1.2.1" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/involved-margins" />
                    <code value="I1" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="1.1.2.1.1" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
                  <valueInteger value="4000" />
                </extension>
                <linkId value="1.1.2.1.1.1" />
                <text value="Specify margin(s)" />
                <type value="string" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="1.1.2.1" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/involved-margins" />
                    <code value="I2" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="1.1.2.1.2" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
                  <valueInteger value="4000" />
                </extension>
                <linkId value="1.1.2.1.2.1" />
                <text value="Cannot be determined (explain)" />
                <type value="string" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
          </question>
        </group>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="1.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/margin-status" />
                <code value="M3" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="1.1.3" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
              <valueInteger value="4000" />
            </extension>
            <linkId value="1.1.3.1" />
            <text value="Cannot be determined" />
            <type value="string" />
            <required value="true" />
            <repeats value="false" />
          </question>
        </group>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="1.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/margin-status" />
                <code value="M4" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="1.1.4" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
              <valueInteger value="4000" />
            </extension>
            <linkId value="1.1.4.1" />
            <text value="Not Applicable" />
            <type value="string" />
            <required value="true" />
            <repeats value="false" />
          </question>
        </group>
      </question>
    </group>
    <group>
      <linkId value="2" />
      <title value="ACCESSORY FINDINGS" />
      <required value="true" />
      <repeats value="false" />
      <question>
        <linkId value="2.1" />
        <text value="Treatment Effect (applicable to carcinomas treated with neoadjuvant therapy)" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <options>
          <reference value="#effect" />
        </options>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="2.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/treatment-effect" />
                <code value="E1" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="2.1.1" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
              <valueInteger value="4000" />
            </extension>
            <linkId value="2.1.1.1" />
            <text value="Not identified" />
            <type value="string" />
            <required value="true" />
            <repeats value="false" />
          </question>
        </group>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="2.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/treatment-effect" />
                <code value="E2" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="2.1.2" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
              <valueInteger value="4000" />
            </extension>
            <linkId value="2.1.2.1" />
            <text value="Present (specify)" />
            <type value="string" />
            <required value="true" />
            <repeats value="false" />
          </question>
        </group>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="2.1" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/treatment-effect" />
                <code value="E3" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="2.1.3" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
              <valueInteger value="4000" />
            </extension>
            <linkId value="2.1.3.1" />
            <text value="Indeterminate" />
            <type value="string" />
            <required value="true" />
            <repeats value="false" />
          </question>
        </group>
      </question>
      <question>
        <linkId value="2.2" />
        <text value="Tumor Description" />
        <type value="choice" />
        <required value="false" />
        <repeats value="true" />
        <options>
          <reference value="#tumor" />
        </options>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="2.2" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/tumor-description" />
                <code value="U3" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="2.2.1" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <linkId value="2.2.1.1" />
            <text value="??" />
            <type value="choice" />
            <required value="false" />
            <repeats value="true" />
            <options>
              <reference value="#invasion" />
            </options>
            <group>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
                <extension url="#question">
                  <valueString value="2.2.1.1" />
                </extension>
                <extension url="#answer">
                  <valueCoding>
                    <system value="http://cap.org/example/fhir/tumor-invasion" />
                    <code value="V3" />
                  </valueCoding>
                </extension>
              </extension>
              <linkId value="2.2.1.1.1" />
              <required value="true" />
              <repeats value="false" />
              <question>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
                  <valueInteger value="4000" />
                </extension>
                <linkId value="2.2.1.1.1.1" />
                <text value="Extra-adrenal (specify)" />
                <type value="string" />
                <required value="true" />
                <repeats value="false" />
              </question>
            </group>
          </question>
        </group>
        <group>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-enableWhen">
            <extension url="#question">
              <valueString value="2.2" />
            </extension>
            <extension url="#answer">
              <valueCoding>
                <system value="http://cap.org/example/fhir/tumor-description" />
                <code value="U4" />
              </valueCoding>
            </extension>
          </extension>
          <linkId value="2.2.2" />
          <required value="true" />
          <repeats value="false" />
          <question>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxLength">
              <valueInteger value="4000" />
            </extension>
            <linkId value="2.2.2.1" />
            <text value="Other (specify)" />
            <type value="string" />
            <required value="true" />
            <repeats value="false" />
          </question>
        </group>
      </question>
    </group>
  </group>
</Questionnaire>