<Questionnaire xmlns="http://hl7.org/fhir">
    <id value="questionnaire-Respect-3-R4" />
    <url value="http://openehr.org.uk/fhir/questionnaire-respect-3-R4" />
    <version value="0" />
    <name value="Respect-3" />
    <status value="draft" />
    <date value="2020-12-02" />
    <publisher value="openEHR" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="http://www.veratech.es" />
        </telecom>
    </contact>
    <description value="Document to communicate information to others, commonly in response to a request from another party." />
    <item>
        <linkId value="openEHR-EHR-COMPOSITION.report.v1:at0000" />
        <text value="ReSPECT-3" />
        <type value="group" />
        <item>
            <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0000" />
            <text value="ReSPECT headings" />
            <type value="group" />
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0001" />
                <text value="2. Shared understanding" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-EVALUATION.clinical_synopsis.v1:at0000" />
                    <text value="ReSPECT Summary" />
                    <type value="group" />
                </item>
                <item>
                    <linkId value="openEHR-EHR-SECTION.adhoc.v1:at0000" />
                    <text value="Details of other relevant care planning documents and where to find them" />
                    <type value="group" />
                    <item>
                        <linkId value="openEHR-EHR-EVALUATION.advance_care_directive.v1:at0000" />
                        <text value="Advance planning document" />
                        <type value="group" />
                        <repeats value="true" />
                    </item>
                </item>
                <item>
                    <linkId value="openEHR-EHR-SECTION.ehr_reference.v0:at0000" />
                    <text value="Legal welfare proxies" />
                    <type value="group" />
                    <item>
                        <linkId value="openEHR-EHR-ADMIN_ENTRY.legal_authority.v0:at0000" />
                        <text value="Legal welfare proxy in place" />
                        <type value="group" />
                        <repeats value="true" />
                        <item>
                            <linkId value="openEHR-EHR-ADMIN_ENTRY.legal_authority.v0:at0002" />
                            <text value="Type" />
                            <type value="text" />
                        </item>
                        <item>
                            <linkId value="openEHR-EHR-ADMIN_ENTRY.legal_authority.v0:at0004" />
                            <text value="Status" />
                            <type value="choice" />
                            <answerValueSet value="http://openehr.org.uk/fhir/ValueSet-report-v1-status-R4" />
                        </item>
                    </item>
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0006" />
                <text value="3. What matters to me" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-EVALUATION.about_me.v0:at0000" />
                    <text value="What matters to me" />
                    <type value="group" />
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0007" />
                <text value="4. Clinical recommendations" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-EVALUATION.recommendation.v1:at0000" />
                    <text value="Recommendation" />
                    <type value="group" />
                </item>
                <item>
                    <linkId value="openEHR-EHR-EVALUATION.cpr_decision_uk.v0:at0000" />
                    <text value="CPR decision" />
                    <type value="group" />
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0008" />
                <text value="5. Capacity for involvement" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-EVALUATION.mental_capacity.v0:at0000" />
                    <text value="Mental capacity" />
                    <type value="group" />
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0009" />
                <text value="6. Involvement in making plan" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-ADMIN_ENTRY.respect_involvement.v0:at0000" />
                    <text value="ReSPECT involvement" />
                    <type value="group" />
                    <item>
                        <linkId value="openEHR-EHR-ADMIN_ENTRY.respect_involvement.v0:at0012" />
                        <text value="Involvement in recommendations" />
                        <type value="group" />
                        <item>
                            <linkId value="openEHR-EHR-ADMIN_ENTRY.respect_involvement.v0:at0002" />
                            <text value="Involvement" />
                            <type value="choice" />
                            <repeats value="true" />
                            <answerValueSet value="http://openehr.org.uk/fhir/ValueSet-report-v1-involvement-R4" />
                        </item>
                        <item>
                            <linkId value="openEHR-EHR-ADMIN_ENTRY.respect_involvement.v0:at0007" />
                            <text value="Option D" />
                            <type value="text" />
                        </item>
                    </item>
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0010" />
                <text value="7. Clinician signatures" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-ACTION.service.v0:at0000" />
                    <text value="Clinician signature" />
                    <type value="group" />
                    <repeats value="true" />
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0011" />
                <text value="8. Emergency contacts" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-ADMIN_ENTRY.care_team.v0:at0000" />
                    <text value="Emergency contacts" />
                    <type value="group" />
                    <item>
                        <linkId value="openEHR-EHR-CLUSTER.care_team.v0:at0018" />
                        <text value="Name" />
                        <type value="text" />
                    </item>
                    <item>
                        <linkId value="openEHR-EHR-CLUSTER.care_team.v0:at0021" />
                        <text value="Participant" />
                        <type value="group" />
                        <repeats value="true" />
                        <item>
                            <linkId value="openEHR-EHR-CLUSTER.care_team.v0:at0022" />
                            <text value="Role and Relationship" />
                            <type value="text" />
                            <repeats value="true" />
                        </item>
                        <item>
                            <linkId value="openEHR-EHR-CLUSTER.contact_cc.v0:at0000" />
                            <text value="Member" />
                            <type value="group" />
                            <item>
                                <linkId value="openEHR-EHR-CLUSTER.name_cc.v0:at0000" />
                                <text value="Name" />
                                <type value="group" />
                                <repeats value="true" />
                                <item>
                                    <linkId value="openEHR-EHR-CLUSTER.name_cc.v0:at0001" />
                                    <text value="Use" />
                                    <type value="choice" />
                                    <answerValueSet value="http://openehr.org.uk/fhir/ValueSet-report-v1-use-R4" />
                                </item>
                                <item>
                                    <linkId value="openEHR-EHR-CLUSTER.name_cc.v0:at0009" />
                                    <text value="Contact name" />
                                    <type value="text" />
                                </item>
                            </item>
                            <item>
                                <linkId value="openEHR-EHR-CLUSTER.telecom_cc.v0:at0000" />
                                <text value="Telephone" />
                                <type value="group" />
                                <repeats value="true" />
                                <item>
                                    <linkId value="openEHR-EHR-CLUSTER.telecom_cc.v0:at0001" />
                                    <text value="System" />
                                    <type value="choice" />
                                    <answerValueSet value="http://openehr.org.uk/fhir/ValueSet-report-v1-system-R4" />
                                </item>
                                <item>
                                    <linkId value="openEHR-EHR-CLUSTER.telecom_cc.v0:at0002" />
                                    <text value="Telephone number" />
                                    <type value="text" />
                                </item>
                            </item>
                        </item>
                        <item>
                            <linkId value="openEHR-EHR-CLUSTER.care_team.v0:at0030" />
                            <text value="Other details about contact" />
                            <type value="text" />
                        </item>
                    </item>
                </item>
            </item>
            <item>
                <linkId value="openEHR-EHR-SECTION.respect_headings.v0:at0012" />
                <text value="9. Review of Plan" />
                <type value="group" />
                <item>
                    <linkId value="openEHR-EHR-ACTION.service.v0:at0000_1" />
                    <text value="Review of plan" />
                    <type value="group" />
                    <repeats value="true" />
                </item>
            </item>
        </item>
    </item>
</Questionnaire>