StructureDefinition: CQIF-Questionnaire - XML

CQIF-Questionnaire

Raw XML

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cqif-questionnaire"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/cqif-questionnaire"/>
  <name value="CQIF-Questionnaire"/>
  <status value="draft"/>
  <publisher value="Health Level Seven, Inc. - CDS WG"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/dss"/>
    </telecom>
  </contact>
  <date value="2015-05-30"/>
  <description value="A questionnaire with the ability to specify behavior associated with questions or groups
   of questions"/>
  <kind value="resource"/>
  <constrainedType value="Questionnaire"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
  <snapshot>
    <element>
      <path value="Questionnaire"/>
      <name value="CQIF-Questionnaire"/>
      <short value="A questionnaire with the ability to specify behavior associated with questions or groups
       of questions"/>
      <definition value="A CQIF questionnaire is a questionnaire with the added ability to describe behavior associated
       with questions. For example, whether or not to display a particular question or group
       of questions, or automatically calculating the value of an answer based on the answers
       to previous questions."/>
      <alias value="Form"/>
      <alias value="CRF"/>
      <alias value="Survey"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Questionnaire"/>
      </type>
      <constraint>
        <key value="que-3"/>
        <severity value="error"/>
        <human value="If root group must be &quot;required&quot;"/>
        <xpath value="f:group/f:required/@value='true'"/>
      </constraint>
      <constraint>
        <key value="que-2"/>
        <severity value="error"/>
        <human value="The link ids for groups and questions must be unique within the questionnaire"/>
        <xpath value="count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[moodCode=DEF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="infrastructure.information"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the url for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Questionnaire.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Questionnaire.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Questionnaire.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language"/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Questionnaire.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="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."/>
      <comments value="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 value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.extension"/>
      <name value="content"/>
      <short value="An attachment containing any logic referenced by the questionnaire"/>
      <definition value="A CQL or ELM attachment containing any logic referenced by the questionnaire."/>
      <alias value="content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-content"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.identifier"/>
      <short value="External Ids for this questionnaire"/>
      <definition value="This records identifiers associated with this question set that are defined by business
       processed and/ or used to refer to it when a direct URL reference to the resource itself
       is not appropriate (e.g. in CDA documents, or in written / printed documentation)."/>
      <requirements value="Need to allow connection to a wider workflow."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id[use=BUS]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.version"/>
      <short value="Logical id for this version of Questionnaire"/>
      <definition value="The version number assigned by the publisher for business reasons.  It may remain the
       same when the resource is updated."/>
      <requirements value="In some cases, separate resource instances might be created for each version (if an older
       version can be maintained once a new version exists)."/>
      <alias value="N/A - MIF rather than RIM level"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.version"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id[use=VER]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id.version"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.status"/>
      <short value="draft | published | retired"/>
      <definition value="The lifecycle status of the questionnaire as a whole."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Lifecycle status of the questionnaire"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/questionnaire-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish
         &quot;in-progress&quot; from &quot;published)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.date"/>
      <short value="Date this version was authored"/>
      <definition value="The date that this questionnaire was last changed."/>
      <alias value="Date Created"/>
      <alias value="Date published"/>
      <alias value="Date Issued"/>
      <alias value="Date updated"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.publisher"/>
      <short value="Organization/individual who designed the questionnaire"/>
      <definition value="Organization or person responsible for developing and maintaining the questionnaire."/>
      <requirements value="Conveys responsibility for the questions and their organization and also helps evaluate
       the questionnaire's &quot;authority&quot;."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.publisher"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.witness"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.telecom"/>
      <short value="Contact information of the publisher"/>
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role.telecom"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.subjectType"/>
      <short value="Resource that can be subject of QuestionnaireResponse"/>
      <definition value="Identifies the types of subjects that can be the subject of the questionnaire."/>
      <comments value="If none are specified, then the subject is unlimited."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.subjectType"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="One of the resource types defined as part of FHIR"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/resource-types"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=META].target[classCode=OBS, moodCode=DEFN, isCriterion=true].particip
        ation.role.classCode"/>
      </mapping>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Group"/>
      </extension>
      <path value="Questionnaire.group"/>
      <short value="Grouped questions"/>
      <definition value="A collection of related questions (or further groupings of questions)."/>
      <comments value="The Questionnaire itself has one &quot;root&quot; group with the actual contents of the
       Questionnaire.  Information on this root group applies to the questionnaire as a whole."/>
      <requirements value="Need to be able to logically group answers to grouped questions."/>
      <alias value="Section"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <condition value="que-3"/>
      <constraint>
        <key value="que-1"/>
        <severity value="error"/>
        <human value="Groups may either contain questions or groups but not both"/>
        <xpath value="not(exists(f:group) and exists(f:question))"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=DOCSECT, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.extension"/>
      <name value="condition"/>
      <short value="A condition that determines whether or not the group is applicable"/>
      <definition value="The name of an expression that determines whether the group on which it appears is applicable.
       The expression is evaluated within the current context. If the result of evaluating the
       expression is true, the group is applicable. The expression has access to the current
       value of answered questions by the linkId of the question."/>
      <comments value="Note that per Lloyd this extension may not be necessary, it may be able to specified structurally
       using the elements already available within Questionnaire."/>
      <alias value="condition"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-expression"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.group.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.linkId"/>
      <short value="To link questionnaire with questionnaire response"/>
      <definition value="An identifier that is unique within the questionnaire allowing linkage to the equivalent
       group in a QuestionnaireResponse resource."/>
      <comments value="May be omitted if there is no expectation to link answers back to a questionnaire.  This
       *can* be a meaningful id (e.g. a LOINC code) but is not intended to have any meaning.
        GUIDs or sequential numbers are appropriate here."/>
      <requirements value="[[[QuestionnaireResponse]]] does not require omitted groups to be included and may have
       some groups that repeat, so linkage based on position alone is not sufficient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.linkId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.title"/>
      <short value="Name to be displayed for group"/>
      <definition value="The human-readable name for this section of the questionnaire."/>
      <comments value="The title of the &quot;root&quot; group is the title for the questionnaire."/>
      <requirements value="When including text for the questionnaire with the answers, sections may have a section
       header."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.concept"/>
      <short value="Concept that represents this section on a questionnaire"/>
      <definition value="Identifies a how this group of questions is known in a particular terminology such as
       LOINC."/>
      <comments value="The code(s) for the &quot;root&quot; group apply to the questionnaire as a whole."/>
      <requirements value="Allows linking of groups of questions (and complete questionnaires) to formal terminologies."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.concept"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for groupings of questionnaire questions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/questionnaire-questions"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.text"/>
      <short value="Additional text for the group"/>
      <definition value="Additional text for the group, used for display purposes."/>
      <comments value="Common extensions are defined for more specialized types of display text."/>
      <requirements value="When including text for the questionnaire, each section may contain additional explanations
       are background text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.required"/>
      <short value="Must group be included in data results?"/>
      <definition value="If true, indicates that the group must be present and have required questions within it
       answered.  If false, the group may be skipped when answering the questionnaire."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.required"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.repeats"/>
      <short value="Whether the group may repeat"/>
      <definition value="Whether the group may occur multiple times in the instance, containing multiple sets of
       answers."/>
      <requirements value="Groups may be used to create set of (related) questions that can be repeated to give multiple
       answers to such a set."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.repeats"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.group"/>
      <short value="Nested questionnaire group"/>
      <definition value="A sub-group within a group. The ordering of groups within this group is relevant."/>
      <requirements value="Reports can consist of complex nested groups."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.group"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <nameReference value="group"/>
      <condition value="que-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=DOCSECT, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Question"/>
      </extension>
      <path value="Questionnaire.group.question"/>
      <short value="Questions in this group"/>
      <definition value="Set of questions within this group. The order of questions within the group is relevant."/>
      <requirements value="Must register answers to questions."/>
      <alias value="Responses"/>
      <alias value="Contents"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.question"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <condition value="que-1"/>
      <constraint>
        <key value="que-4"/>
        <severity value="error"/>
        <human value="A question must use either option or options, not both"/>
        <xpath value="not(f:options and f:option)"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN or DEF]"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.question.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.extension"/>
      <name value="initialValue"/>
      <short value="An expression that provides the initial value for the answer to the question"/>
      <definition value="The name of an expression that determines the initial value for the answer to the question.
       This expression is evaluated once as part of displaying the form, and does not have access
       to the answers to other questions."/>
      <alias value="initialValue"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-expression"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.group.question.extension"/>
      <name value="calculatedValue"/>
      <short value="An expression that provides a calculated value for the answer to the question"/>
      <definition value="The name of an expression that determines a calculated value for the answer to the question.
       The expression is evaluated as necessary and has access to the answers to other questions
       by the linkId of the question."/>
      <alias value="calculatedValue"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-expression"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.group.question.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.question.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.linkId"/>
      <short value="To link questionnaire with questionnaire response"/>
      <definition value="An identifier that is unique within the questionnaire allowing linkage to the equivalent
       group in a [[[QuestionnaireResponse]]] resource."/>
      <comments value="May be omitted if there is no expectation to link answers back to a questionnaire.  This
       *can* be a meaningful id (e.g. a LOINC code) but is not intended to have any meaning.
        GUIDs or sequential numbers are appropriate here."/>
      <requirements value="[[[QuestionnaireResponse]]] does not require omitted groups to be included and may have
       some groups that repeat, so linkage based on position alone is not sufficient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.linkId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.concept"/>
      <short value="Concept that represents this question on a questionnaire"/>
      <definition value="Identifies a how this question is known in a particular terminology such as LOINC."/>
      <requirements value="Allows linking of questions (and their answers) to formal terminologies."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.question.concept"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Codes corresponding to individual questions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/questionnaire-questions"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.text"/>
      <short value="Text of the question as it is shown to the user"/>
      <definition value="The actual question as shown to the user to prompt them for an answer."/>
      <comments value="Common extensions are defined for more specialized types of display text."/>
      <requirements value="When including text for the questionnaire, each question may contain its actual question
       display text."/>
      <alias value="Question"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".code.display"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.type"/>
      <short value="boolean | decimal | integer | date | dateTime +"/>
      <definition value="The expected format of the answer, e.g. the type of input (string, integer) or whether
       a (multiple) choice is expected."/>
      <comments value="Additional constraints on the type of answer can be conveyed by extensions."/>
      <requirements value="Defines the format in which the user is to be prompted for the answer."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The expected format of an answer"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/answer-format"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="N/A - MIF rather than RIM level"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.required"/>
      <short value="Must question be answered in data results?"/>
      <definition value="If true, indicates that the question must be answered and have required groups within
       it also present.  If false, the question and any contained groups may be skipped when
       answering the questionnaire."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.required"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.repeats"/>
      <short value="Can question  have multiple answers?"/>
      <definition value="If true, the question may have more than one answer."/>
      <comments value="Whether the question itself will be displayed for each answer is a rendering choice typically
       based on whether there are nested groups."/>
      <requirements value="Used for &quot;check all that apply&quot; types of questions or &quot;list your top 3&quot;,
       etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.repeats"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.options"/>
      <short value="Valueset containing permitted answers"/>
      <definition value="Reference to a valueset containing the a list of codes representing permitted answers
       for the question."/>
      <comments value="LOINC defines many useful value sets for questionnaire response. See [LOINC Answer Lists](loinc.html
      #alist)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.group.question.options"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
      </type>
      <condition value="que-4"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer to capture value set"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.option"/>
      <short value="Permitted answer"/>
      <definition value="For a &quot;choice&quot; question, identifies one of the permitted answers for the question."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.question.option"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <condition value="que-4"/>
      <binding>
        <strength value="example"/>
        <description value="Allowed values to answer questions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer to capture value set"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.group.question.group"/>
      <short value="Nested questionnaire group"/>
      <definition value="Nested group, containing nested question for this question. The order of groups within
       the question is relevant."/>
      <requirements value="It is useful to have &quot;sub-questions&quot;, questions which normally appear when certain
       answers are given and which collect additional details."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.group.question.group"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <nameReference value="group"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=DOCSECT, moodCode=EVN]"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Questionnaire"/>
      <name value="CQIF-Questionnaire"/>
      <short value="A questionnaire with the ability to specify behavior associated with questions or groups
       of questions"/>
      <definition value="A CQIF questionnaire is a questionnaire with the added ability to describe behavior associated
       with questions. For example, whether or not to display a particular question or group
       of questions, or automatically calculating the value of an answer based on the answers
       to previous questions."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Questionnaire"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.extension"/>
      <name value="content"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="An attachment containing any logic referenced by the questionnaire"/>
      <definition value="A CQL or ELM attachment containing any logic referenced by the questionnaire."/>
      <alias value="content"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-content"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.group"/>
    </element>
    <element>
      <path value="Questionnaire.group.extension"/>
      <name value="condition"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="A condition that determines whether or not the group is applicable"/>
      <definition value="The name of an expression that determines whether the group on which it appears is applicable.
       The expression is evaluated within the current context. If the result of evaluating the
       expression is true, the group is applicable. The expression has access to the current
       value of answered questions by the linkId of the question."/>
      <comments value="Note that per Lloyd this extension may not be necessary, it may be able to specified structurally
       using the elements already available within Questionnaire."/>
      <alias value="condition"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-expression"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.group.question"/>
    </element>
    <element>
      <path value="Questionnaire.group.question.extension"/>
      <name value="initialValue"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="An expression that provides the initial value for the answer to the question"/>
      <definition value="The name of an expression that determines the initial value for the answer to the question.
       This expression is evaluated once as part of displaying the form, and does not have access
       to the answers to other questions."/>
      <alias value="initialValue"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-expression"/>
      </type>
    </element>
    <element>
      <path value="Questionnaire.group.question.extension"/>
      <name value="calculatedValue"/>
      <short value="An expression that provides a calculated value for the answer to the question"/>
      <definition value="The name of an expression that determines a calculated value for the answer to the question.
       The expression is evaluated as necessary and has access to the answers to other questions
       by the linkId of the question."/>
      <alias value="calculatedValue"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqif-basic-expression"/>
      </type>
    </element>
  </differential>
</StructureDefinition>