{ "resourceType": "StructureDefinition", "id": "SHD-QuestionnaireResponse-DischargeNotice", "meta": { "lastUpdated": "2020-02-11T12:11:00.347+00:00" }, "url": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-DischargeNotice", "version": "0.0.1", "name": "SHD-QuestionnaireResponse-DischargeNotice", "status": "active", "date": "2020-02-11T12:11:00.3319206+00:00", "description": "Constrained version of FHIR QuestionnaireResponse resource to facilitate Supported Hospital Discharges (SHD) to Social Care. The Supported Hospital Discharge API enables full digitisation of the process for safely discharging Patients where Social Care intervention may be required.", "purpose": "The SHD-QuestionnaireResponse-DischargeNotice is used to share any Discharge Notice data items mandated in the Care Act 2014 or the Care and Support (Discharge of Hospital Patients) Regulations 2014, which are not already provided in any other FHIR Resource", "copyright": "Copyright © Nottinghamshire County Council 2020", "fhirVersion": "3.0.2", "kind": "resource", "abstract": false, "type": "QuestionnaireResponse", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "derivation": "constraint", "snapshot": { "element": [ { "id": "QuestionnaireResponse", "path": "QuestionnaireResponse", "short": "A structured set of questions and their answers", "definition": "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.", "comment": "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.", "alias": [ "Form", "QuestionnaireAnswers" ], "min": 0, "max": "*", "base": { "path": "Resource", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression": "contained.text.empty()", "xpath": "not(parent::f:contained and f:text)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "Observation[moodCode=EVN]" }, { "identity": "w5", "map": "infrastructure.information" } ] }, { "id": "QuestionnaireResponse.id", "path": "QuestionnaireResponse.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.meta", "path": "QuestionnaireResponse.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.implicitRules", "path": "QuestionnaireResponse.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.language", "path": "QuestionnaireResponse.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "extensible", "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.text", "path": "QuestionnaireResponse.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1", "dom-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "QuestionnaireResponse.contained", "path": "QuestionnaireResponse.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.extension", "path": "QuestionnaireResponse.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.modifierExtension", "path": "QuestionnaireResponse.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.identifier", "path": "QuestionnaireResponse.identifier", "short": "Unique id for this set of answers", "definition": "A business identifier assigned to a particular completed (or partially completed) questionnaire.", "requirements": "Used for tracking, registration and other business purposes.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".id" }, { "identity": "w5", "map": "id" } ] }, { "id": "QuestionnaireResponse.basedOn", "path": "QuestionnaireResponse.basedOn", "short": "ReferralRequest the QuestionnaireResponse relates to", "definition": "The Reference should be the ReferralRequest unique ID that was shared by the Local Authority in the CREATE ReferralRequest http response for the relevant referral (i.e. Supported Hospital Discharge Case).", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.", "alias": [ "order" ], "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-ReferralRequest-1" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=FLFS].target" } ] }, { "id": "QuestionnaireResponse.basedOn.id", "path": "QuestionnaireResponse.basedOn.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.basedOn.extension", "path": "QuestionnaireResponse.basedOn.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.basedOn.reference", "path": "QuestionnaireResponse.basedOn.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "The Reference should be the ReferralRequest unique ID that was shared by the Local Authority in the CREATE ReferralRequest http response for the relevant referral (i.e. Supported Hospital Discharge Case)", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 1, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.basedOn.identifier", "path": "QuestionnaireResponse.basedOn.identifier", "short": "Logical reference, when literal reference is not known", "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "QuestionnaireResponse.basedOn.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.basedOn.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.parent", "path": "QuestionnaireResponse.parent", "short": "Part of this action", "definition": "A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.", "comment": "Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.parent", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.questionnaire", "path": "QuestionnaireResponse.questionnaire", "short": "Form being answered", "definition": "The QuestionnaireResponse.questionnaire will be used to dtermine that the response is a Discharge Notice\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for copy of Questionnaire template", "comment": "If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).", "requirements": "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.", "alias": [ "Form" ], "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.questionnaire", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Questionnaire" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" } ] }, { "id": "QuestionnaireResponse.questionnaire.id", "path": "QuestionnaireResponse.questionnaire.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.questionnaire.extension", "path": "QuestionnaireResponse.questionnaire.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.questionnaire.reference", "path": "QuestionnaireResponse.questionnaire.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 1, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-DischargeNotice", "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.questionnaire.identifier", "path": "QuestionnaireResponse.questionnaire.identifier", "short": "Logical reference, when literal reference is not known", "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min": 0, "max": "0", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "QuestionnaireResponse.questionnaire.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.questionnaire.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.status", "path": "QuestionnaireResponse.status", "short": "completed | amended | stopped", "definition": "The position of the questionnaire response within its overall lifecycle:\r\n\r\nCreate DN - status=completed - Date Withdrawn & Withdrawal Reason should not be present\r\nUpdate existing DN [implicit withdrawal & reissue] - status=amended - Date Withdrawn & Withdrawal Reason must not be present\r\nWithdraw DN - status=stopped - Date Withdrawn & Withdrawal Reason must be present\r\nRe-issue DN after withdrawal - status=amended - Date Withdrawn & Withdrawal Reason must not be present", "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "requirements": "The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mustSupport": true, "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireResponseStatus" } ], "strength": "required", "description": "Lifecycle status of the questionnaire response.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers-status" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)" }, { "identity": "w5", "map": "status" } ] }, { "id": "QuestionnaireResponse.subject", "path": "QuestionnaireResponse.subject", "short": "The subject of the questions", "definition": "The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information.", "comment": "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.", "requirements": "Allows linking the answers to the individual the answers describe. May also affect access control.", "alias": [ "Patient", "Focus" ], "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role" }, { "identity": "w5", "map": "who.focus" } ] }, { "id": "QuestionnaireResponse.context", "path": "QuestionnaireResponse.context", "short": "Encounter or Episode during which questionnaire was completed", "definition": "The encounter or episode of care with primary association to the questionnaire response.", "comment": "A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.", "requirements": "Provides context for the information that was captured. May also affect access control.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.context", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" }, { "identity": "w5", "map": "context" } ] }, { "id": "QuestionnaireResponse.authored", "path": "QuestionnaireResponse.authored", "short": "Date the answers were gathered", "definition": "The system date and/or time that the Discharge Notice is issued to Social Care\r\n\r\nNote - the only exception to this is if the update is to Withdraw (and not re-issue) a previous notice (i.e. status='stopped'). It which case 'authored' should be the date the Discharge Notice being withdrawn was most recently issued/re-issued. The actual withdrawal date should be provided in QuestionnaireResponse.item with linkId=4.1", "comment": "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.", "requirements": "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.", "alias": [ "Date Created", "Date published", "Date Issued", "Date updated" ], "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.authored", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" }, { "identity": "w5", "map": "when.recorded" } ] }, { "id": "QuestionnaireResponse.author", "path": "QuestionnaireResponse.author", "short": "Person who received and recorded the answers", "definition": "Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.", "comment": "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated.", "requirements": "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.", "alias": [ "Laboratory", "Service", "Practitioner", "Department", "Company", "Performer" ], "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.author", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" }, { "identity": "w5", "map": "who.author" } ] }, { "id": "QuestionnaireResponse.source", "path": "QuestionnaireResponse.source", "short": "The person who answered the questions", "definition": "The person who answered the questions about the subject.", "comment": "If not specified, no inference can be made about who provided the data.", "requirements": "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.source", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=INF].role" }, { "identity": "w5", "map": "who.source" } ] }, { "id": "QuestionnaireResponse.item", "path": "QuestionnaireResponse.item", "slicing": { "discriminator": [ { "type": "value", "path": "linkId" } ], "description": "See https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for copy of Questionnaire template", "rules": "open" }, "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.answer.value[x]", "path": "QuestionnaireResponse.item.answer.value[x]", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "decimal" }, { "code": "integer" }, { "code": "date" }, { "code": "dateTime" }, { "code": "time" }, { "code": "string" }, { "code": "uri" }, { "code": "Attachment" }, { "code": "Coding" }, { "code": "Quantity" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "example", "description": "Code indicating the response provided for a question.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:completedBy", "path": "QuestionnaireResponse.item", "sliceName": "completedBy", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:completedBy.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:completedBy.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:completedBy.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:completedBy.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "1.1", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:completedBy.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:completedBy.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Name of person who completed the Discharge/Withdrawal Notice", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:completedBy.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.value[x]:valueString", "path": "QuestionnaireResponse.item.answer.valueString", "sliceName": "valueString", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "example", "description": "Code indicating the response provided for a question.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.value[x]:valueString.id", "path": "QuestionnaireResponse.item.answer.valueString.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.value[x]:valueString.extension", "path": "QuestionnaireResponse.item.answer.valueString.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.value[x]:valueString.value", "path": "QuestionnaireResponse.item.answer.valueString.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "maxLength": 1048576 }, { "id": "QuestionnaireResponse.item:completedBy.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:completedBy.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate", "path": "QuestionnaireResponse.item", "sliceName": "proposedDischargeDate", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "1.2", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Proposed Discharge Date", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.value[x]:valueDate", "path": "QuestionnaireResponse.item.answer.valueDate", "sliceName": "valueDate", "short": "Yes | No | Lacks Mental Capacity", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.value[x]:valueDate.id", "path": "QuestionnaireResponse.item.answer.valueDate.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.value[x]:valueDate.extension", "path": "QuestionnaireResponse.item.answer.valueDate.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.value[x]:valueDate.value", "path": "QuestionnaireResponse.item.answer.valueDate.value", "representation": [ "xmlAttr" ], "short": "Primitive value for date", "definition": "Primitive value for date", "min": 0, "max": "1", "base": { "path": "date.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex", "valueString": "-?[0-9]{4}(-(0[1-9]|1[0-2])(-(0[0-9]|[1-2][0-9]|3[0-1]))?)?" } ], "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:gYear OR xsd:gYearMonth OR xsd:date" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:gYear OR xsd:gYearMonth OR xsd:date" } ] } } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation", "path": "QuestionnaireResponse.item", "sliceName": "patientPddConsultation", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "2.1", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Has the patient been consulted regarding the proposed discharge date?", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.value[x]:valueBoolean", "path": "QuestionnaireResponse.item.answer.valueBoolean", "sliceName": "valueBoolean", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.value[x]:valueBoolean.id", "path": "QuestionnaireResponse.item.answer.valueBoolean.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.value[x]:valueBoolean.extension", "path": "QuestionnaireResponse.item.answer.valueBoolean.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.value[x]:valueBoolean.value", "path": "QuestionnaireResponse.item.answer.valueBoolean.value", "representation": [ "xmlAttr" ], "short": "Primitive value for boolean", "definition": "Primitive value for boolean", "min": 0, "max": "1", "base": { "path": "boolean.value", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "boolean" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:boolean" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:boolean" } ] } } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation", "path": "QuestionnaireResponse.item", "sliceName": "carerPddConsultation", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "2.2", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Has the patient's carer (if applicable) been consulted regarding the proposed discharge date?", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding", "path": "QuestionnaireResponse.item.answer.valueCoding", "sliceName": "valueCoding", "short": "Yes | No | No Known Carer", "definition": "The answer (or one of the answers) provided by the respondent to the question.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "required", "description": "Code indicating the response provided for a question.", "valueSetReference": { "reference": "https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-CarerConsultation" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.id", "path": "QuestionnaireResponse.item.answer.valueCoding.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.extension", "path": "QuestionnaireResponse.item.answer.valueCoding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.system", "path": "QuestionnaireResponse.item.answer.valueCoding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 1, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/SHD-CarerConsultation", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.version", "path": "QuestionnaireResponse.item.answer.valueCoding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min": 0, "max": "0", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.code", "path": "QuestionnaireResponse.item.answer.valueCoding.code", "short": "Symbol in syntax defined by the system", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 1, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.item.answer.valueCoding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 1, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.userSelected", "path": "QuestionnaireResponse.item.answer.valueCoding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).", "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "0", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:carerPddConsultation.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete", "path": "QuestionnaireResponse.item", "sliceName": "healthActionsComplete", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "3.1", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Have all health action required for discharge been agreed and/or completed?", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.value[x]:valueBoolean", "path": "QuestionnaireResponse.item.answer.valueBoolean", "sliceName": "valueBoolean", "short": "Legal Representative (Carer) | Legal Representative (Other) | Best Interest Decision | Not Applicable", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.value[x]:valueBoolean.id", "path": "QuestionnaireResponse.item.answer.valueBoolean.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.value[x]:valueBoolean.extension", "path": "QuestionnaireResponse.item.answer.valueBoolean.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.value[x]:valueBoolean.value", "path": "QuestionnaireResponse.item.answer.valueBoolean.value", "representation": [ "xmlAttr" ], "short": "Primitive value for boolean", "definition": "Primitive value for boolean", "min": 0, "max": "1", "base": { "path": "boolean.value", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "boolean" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:boolean" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:boolean" } ] } } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails", "path": "QuestionnaireResponse.item", "sliceName": "healthActionDetails", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "3.2", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Details of health actions completed and any outstanding arrangements that the discharge is dependent upon", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.value[x]:valueString", "path": "QuestionnaireResponse.item.answer.valueString", "sliceName": "valueString", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "example", "description": "Code indicating the response provided for a question.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.value[x]:valueString.id", "path": "QuestionnaireResponse.item.answer.valueString.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.value[x]:valueString.extension", "path": "QuestionnaireResponse.item.answer.valueString.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.value[x]:valueString.value", "path": "QuestionnaireResponse.item.answer.valueString.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "maxLength": 1048576 }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate", "path": "QuestionnaireResponse.item", "sliceName": "withdrawalDate", "short": "Groups and questions", "definition": "MUST be provided if status=stopped", "comment": "MUST be provided if status=stopped", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "SHD-DN-1", "severity": "error", "human": "MUST be provided if status=stopped", "expression": "tbc", "source": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-DischargeNotice" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "4.1", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Date Discharge Notice Withdrawn", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.value[x]:valueDateTime", "path": "QuestionnaireResponse.item.answer.valueDateTime", "sliceName": "valueDateTime", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-DischargeNotice" }, { "key": "SHD-DN-2", "severity": "error", "human": "withdrawalDateTime cannot be in the future", "expression": "tbc", "source": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-DischargeNotice" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason", "path": "QuestionnaireResponse.item", "sliceName": "withdrawalReason", "short": "Groups and questions", "definition": "MUST be provided if status=stopped", "comment": "MUST be provided if status=stopped", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "4.2", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Reason for withdrawal", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "0", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding", "path": "QuestionnaireResponse.item.answer.valueCoding", "sliceName": "valueCoding", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "comment": "Open Choice - Answer is a Coding drawn from a list of options (as with the choice type) or a free-text entry in a string (valueCoding or valueString)", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "required", "description": "Code indicating the response provided for a question.", "valueSetReference": { "reference": "https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-WithdrawalReason" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.id", "path": "QuestionnaireResponse.item.answer.valueCoding.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.extension", "path": "QuestionnaireResponse.item.answer.valueCoding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.system", "path": "QuestionnaireResponse.item.answer.valueCoding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 1, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/SHD-CancellationReason", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.version", "path": "QuestionnaireResponse.item.answer.valueCoding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min": 0, "max": "0", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.code", "path": "QuestionnaireResponse.item.answer.valueCoding.code", "short": "Symbol in syntax defined by the system", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 1, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.item.answer.valueCoding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 1, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.userSelected", "path": "QuestionnaireResponse.item.answer.valueCoding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).", "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "0", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalReason.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail", "path": "QuestionnaireResponse.item", "sliceName": "withdrawalOtherReasonDetail", "short": "Groups and questions", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).", "requirements": "MUST be provided if withdrawalReason='Other'", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Pointer to specific item from Questionnaire", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "4.3", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.text", "path": "QuestionnaireResponse.item.text", "short": "Name for group or question text", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "fixedString": "Please specify details for 'Other' reason for withdrawal", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.subject", "path": "QuestionnaireResponse.item.subject", "short": "The subject this group's answers are about", "definition": "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer", "path": "QuestionnaireResponse.item.answer", "short": "The response(s) to the question", "definition": "The respondent's answer(s) to the question.", "comment": "The value is nested because we cannot have a repeating structure that has variable type.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.value[x]:valueString", "path": "QuestionnaireResponse.item.answer.valueString", "sliceName": "valueString", "short": "Single-valued answer to the question", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "example", "description": "Code indicating the response provided for a question.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Nested groups and questions", "definition": "Nested groups and/or questions found within this particular answer.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.item", "path": "QuestionnaireResponse.item.item", "short": "Nested questionnaire response items", "definition": "Questions or sub-groups nested beneath a question or group.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "0", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] } ] }, "differential": { "element": [ { "id": "QuestionnaireResponse.basedOn", "path": "QuestionnaireResponse.basedOn", "short": "ReferralRequest the QuestionnaireResponse relates to", "definition": "The Reference should be the ReferralRequest unique ID that was shared by the Local Authority in the CREATE ReferralRequest http response for the relevant referral (i.e. Supported Hospital Discharge Case).", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-ReferralRequest-1" } ], "mustSupport": true }, { "id": "QuestionnaireResponse.basedOn.reference", "path": "QuestionnaireResponse.basedOn.reference", "definition": "The Reference should be the ReferralRequest unique ID that was shared by the Local Authority in the CREATE ReferralRequest http response for the relevant referral (i.e. Supported Hospital Discharge Case)", "min": 1 }, { "id": "QuestionnaireResponse.questionnaire", "path": "QuestionnaireResponse.questionnaire", "definition": "The QuestionnaireResponse.questionnaire will be used to dtermine that the response is a Discharge Notice\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for copy of Questionnaire template", "min": 1, "mustSupport": true }, { "id": "QuestionnaireResponse.questionnaire.reference", "path": "QuestionnaireResponse.questionnaire.reference", "min": 1, "fixedString": "https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-DischargeNotice" }, { "id": "QuestionnaireResponse.questionnaire.identifier", "path": "QuestionnaireResponse.questionnaire.identifier", "max": "0" }, { "id": "QuestionnaireResponse.status", "path": "QuestionnaireResponse.status", "short": "completed | amended | stopped", "definition": "The position of the questionnaire response within its overall lifecycle:\r\n\r\nCreate DN - status=completed - Date Withdrawn & Withdrawal Reason should not be present\r\nUpdate existing DN [implicit withdrawal & reissue] - status=amended - Date Withdrawn & Withdrawal Reason must not be present\r\nWithdraw DN - status=stopped - Date Withdrawn & Withdrawal Reason must be present\r\nRe-issue DN after withdrawal - status=amended - Date Withdrawn & Withdrawal Reason must not be present", "mustSupport": true }, { "id": "QuestionnaireResponse.authored", "path": "QuestionnaireResponse.authored", "definition": "The system date and/or time that the Discharge Notice is issued to Social Care\r\n\r\nNote - the only exception to this is if the update is to Withdraw (and not re-issue) a previous notice (i.e. status='stopped'). It which case 'authored' should be the date the Discharge Notice being withdrawn was most recently issued/re-issued. The actual withdrawal date should be provided in QuestionnaireResponse.item with linkId=4.1", "min": 1, "mustSupport": true }, { "id": "QuestionnaireResponse.item", "path": "QuestionnaireResponse.item", "slicing": { "discriminator": [ { "type": "value", "path": "linkId" } ], "description": "See https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for copy of Questionnaire template", "rules": "open" } }, { "id": "QuestionnaireResponse.item:completedBy", "path": "QuestionnaireResponse.item", "sliceName": "completedBy", "min": 1, "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:completedBy.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:completedBy.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "1.1" }, { "id": "QuestionnaireResponse.item:completedBy.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:completedBy.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Name of person who completed the Discharge/Withdrawal Notice" }, { "id": "QuestionnaireResponse.item:completedBy.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:completedBy.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:completedBy.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:completedBy.answer.value[x]:valueString", "path": "QuestionnaireResponse.item.answer.valueString", "sliceName": "valueString", "min": 1, "type": [ { "code": "string" } ] }, { "id": "QuestionnaireResponse.item:completedBy.answer.value[x]:valueString.id", "path": "QuestionnaireResponse.item.answer.valueString.id", "max": "0" }, { "id": "QuestionnaireResponse.item:completedBy.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:completedBy.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate", "path": "QuestionnaireResponse.item", "sliceName": "proposedDischargeDate", "min": 1, "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "1.2" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Proposed Discharge Date" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.value[x]:valueDate", "path": "QuestionnaireResponse.item.answer.valueDate", "sliceName": "valueDate", "short": "Yes | No | Lacks Mental Capacity", "min": 1, "type": [ { "code": "date" } ] }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.value[x]:valueDate.id", "path": "QuestionnaireResponse.item.answer.valueDate.id", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:proposedDischargeDate.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation", "path": "QuestionnaireResponse.item", "sliceName": "patientPddConsultation", "min": 1, "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:patientPddConsultation.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "2.1" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Has the patient been consulted regarding the proposed discharge date?" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.value[x]:valueBoolean", "path": "QuestionnaireResponse.item.answer.valueBoolean", "sliceName": "valueBoolean", "min": 1, "type": [ { "code": "boolean" } ] }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.value[x]:valueBoolean.id", "path": "QuestionnaireResponse.item.answer.valueBoolean.id", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:patientPddConsultation.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation", "path": "QuestionnaireResponse.item", "sliceName": "carerPddConsultation", "min": 1, "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:carerPddConsultation.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "2.2" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Has the patient's carer (if applicable) been consulted regarding the proposed discharge date?" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer", "path": "QuestionnaireResponse.item.answer", "comment": "The value is nested because we cannot have a repeating structure that has variable type.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding", "path": "QuestionnaireResponse.item.answer.valueCoding", "sliceName": "valueCoding", "short": "Yes | No | No Known Carer", "definition": "The answer (or one of the answers) provided by the respondent to the question.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "min": 1, "type": [ { "code": "Coding" } ], "binding": { "strength": "required", "valueSetReference": { "reference": "https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-CarerConsultation" } } }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.id", "path": "QuestionnaireResponse.item.answer.valueCoding.id", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.system", "path": "QuestionnaireResponse.item.answer.valueCoding.system", "min": 1, "fixedUri": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/SHD-CarerConsultation" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.version", "path": "QuestionnaireResponse.item.answer.valueCoding.version", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.code", "path": "QuestionnaireResponse.item.answer.valueCoding.code", "min": 1 }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.item.answer.valueCoding.display", "min": 1 }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.value[x]:valueCoding.userSelected", "path": "QuestionnaireResponse.item.answer.valueCoding.userSelected", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:carerPddConsultation.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete", "path": "QuestionnaireResponse.item", "sliceName": "healthActionsComplete", "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:healthActionsComplete.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "3.1" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Have all health action required for discharge been agreed and/or completed?" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.value[x]:valueBoolean", "path": "QuestionnaireResponse.item.answer.valueBoolean", "sliceName": "valueBoolean", "short": "Legal Representative (Carer) | Legal Representative (Other) | Best Interest Decision | Not Applicable", "min": 1, "type": [ { "code": "boolean" } ] }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.value[x]:valueBoolean.id", "path": "QuestionnaireResponse.item.answer.valueBoolean.id", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionsComplete.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails", "path": "QuestionnaireResponse.item", "sliceName": "healthActionDetails", "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:healthActionDetails.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "3.2" }, { "id": "QuestionnaireResponse.item:healthActionDetails.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Details of health actions completed and any outstanding arrangements that the discharge is dependent upon" }, { "id": "QuestionnaireResponse.item:healthActionDetails.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.value[x]:valueString", "path": "QuestionnaireResponse.item.answer.valueString", "sliceName": "valueString", "min": 1, "type": [ { "code": "string" } ] }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.value[x]:valueString.id", "path": "QuestionnaireResponse.item.answer.valueString.id", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:healthActionDetails.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalDate", "path": "QuestionnaireResponse.item", "sliceName": "withdrawalDate", "definition": "MUST be provided if status=stopped", "comment": "MUST be provided if status=stopped", "max": "1", "constraint": [ { "key": "SHD-DN-1", "severity": "error", "human": "MUST be provided if status=stopped", "expression": "tbc" } ], "mustSupport": true }, { "id": "QuestionnaireResponse.item:withdrawalDate.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalDate.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "4.1" }, { "id": "QuestionnaireResponse.item:withdrawalDate.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalDate.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Date Discharge Notice Withdrawn" }, { "id": "QuestionnaireResponse.item:withdrawalDate.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.value[x]:valueDateTime", "path": "QuestionnaireResponse.item.answer.valueDateTime", "sliceName": "valueDateTime", "min": 1, "type": [ { "code": "dateTime" } ], "constraint": [ { "key": "SHD-DN-2", "severity": "error", "human": "withdrawalDateTime cannot be in the future", "expression": "tbc" } ] }, { "id": "QuestionnaireResponse.item:withdrawalDate.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalDate.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason", "path": "QuestionnaireResponse.item", "sliceName": "withdrawalReason", "definition": "MUST be provided if status=stopped", "comment": "MUST be provided if status=stopped", "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:withdrawalReason.id", "path": "QuestionnaireResponse.item.id", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "4.2" }, { "id": "QuestionnaireResponse.item:withdrawalReason.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Reason for withdrawal" }, { "id": "QuestionnaireResponse.item:withdrawalReason.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer", "path": "QuestionnaireResponse.item.answer", "comment": "The value is nested because we cannot have a repeating structure that has variable type.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.id", "path": "QuestionnaireResponse.item.answer.id", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding", "path": "QuestionnaireResponse.item.answer.valueCoding", "sliceName": "valueCoding", "definition": "The answer (or one of the answers) provided by the respondent to the question.\r\nSee https://simplifier.net/social-health-care-interoperability/shd-questionnaire-dischargenotice for coding", "comment": "Open Choice - Answer is a Coding drawn from a list of options (as with the choice type) or a free-text entry in a string (valueCoding or valueString)", "min": 1, "type": [ { "code": "Coding" } ], "binding": { "strength": "required", "valueSetReference": { "reference": "https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-WithdrawalReason" } } }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.system", "path": "QuestionnaireResponse.item.answer.valueCoding.system", "min": 1, "fixedUri": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/SHD-CancellationReason" }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.version", "path": "QuestionnaireResponse.item.answer.valueCoding.version", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.code", "path": "QuestionnaireResponse.item.answer.valueCoding.code", "min": 1 }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.item.answer.valueCoding.display", "min": 1 }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.value[x]:valueCoding.userSelected", "path": "QuestionnaireResponse.item.answer.valueCoding.userSelected", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalReason.item", "path": "QuestionnaireResponse.item.item", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail", "path": "QuestionnaireResponse.item", "sliceName": "withdrawalOtherReasonDetail", "requirements": "MUST be provided if withdrawalReason='Other'", "max": "1", "mustSupport": true }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.linkId", "path": "QuestionnaireResponse.item.linkId", "fixedString": "4.3" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.definition", "path": "QuestionnaireResponse.item.definition", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.text", "path": "QuestionnaireResponse.item.text", "min": 1, "fixedString": "Please specify details for 'Other' reason for withdrawal" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.subject", "path": "QuestionnaireResponse.item.subject", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer", "path": "QuestionnaireResponse.item.answer", "min": 1, "max": "1" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.value[x]:valueString", "path": "QuestionnaireResponse.item.answer.valueString", "sliceName": "valueString", "min": 1, "type": [ { "code": "string" } ] }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.answer.item", "path": "QuestionnaireResponse.item.answer.item", "max": "0" }, { "id": "QuestionnaireResponse.item:withdrawalOtherReasonDetail.item", "path": "QuestionnaireResponse.item.item", "max": "0" } ] } }