StructureDefinition: GAO Questionnaire - XML

GAO Questionnaire

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="gao-questionnaire"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">

      <h2>GAO Questionnaire</h2>

      <p>The Questionnaire resource is used to support an interactive question/answer implementation
         driven by the client.  This interaction may result in a more favorable evaluation of the
         proposed order.</p>

      <h3>Requirements</h3>

      <p>This resource enables interactive question/answer implementations driven by the server,
         but where the user interface can be implemented by the client.</p>

    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/gao-questionnaire"/>
  <name value="GAO Questionnaire"/>
  <status value="draft"/>
  <date value="2015-09-22T20:02:49+10:00"/>
  <description value="The Questionnaire resource is used to support an interactive question/answer implementation
   driven by the client.  This interaction may result in a more favorable evaluation of the
   proposed order."/>
  <requirements value="This resource enables interactive question/answer implementations driven by the server,
   but where the user interface can be implemented by the client."/>
  <fhirVersion value="1.1.0"/>
  <kind value="resource"/>
  <constrainedType value="Questionnaire"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
  <snapshot>
    <element>
      <path value="Questionnaire"/>
      <short value="A structured set of questions"/>
      <definition value="A structured set of questions intended to guide the collection of answers. The questions
       are ordered and grouped into coherent subsets, corresponding to the structure of the grouping
       of the underlying 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>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="**.linkId.distinct()"/>
        </extension>
        <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"/>
      <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 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."/>
      <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.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.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 identifiers for this questionnaire"/>
      <definition value="This records identifiers associated with this question set that are defined by business
       processes 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 identifier 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.title"/>
      <short value="Name for the questionnaire"/>
      <definition value="The name or label associated with this questionnaire."/>
      <requirements value="Used for display, searching."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.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.concept"/>
      <short value="Concept that represents the overall questionnaire"/>
      <definition value="Identifies a how this question or group of questions is known in a particular terminology
       such as LOINC."/>
      <requirements value="Allows linking of the complete Questionnaire resources to formal terminologies.  It's
       common for &quot;pannels&quot; of questions to be identified by a code."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.concept"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for questionnaires, groups and 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.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>
      <path value="Questionnaire.item"/>
      <name value="item"/>
      <short value="Questions and sections within the Questionnaire"/>
      <definition value="The questions and groupings of questions that make up the questionnaire."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.item"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <condition value="que-3"/>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(type='group' implies item.empty().not()) and (type.log('type')='display' implies item.log('item').e
          mpty())"/>
        </extension>
        <key value="que-1"/>
        <severity value="error"/>
        <human value="Group items must have nested items, display items cannot have nested items"/>
        <xpath value="not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="type!='display' or concept.empty()"/>
        </extension>
        <key value="que-3"/>
        <severity value="error"/>
        <human value="Display items cannot have a &quot;concept&quot; asserted"/>
        <xpath value="not(f:type/@value='display' and f:concept)"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(type!='choice' and type!='open-choice') or (options.empty() and option.empty())"/>
        </extension>
        <key value="que-5"/>
        <severity value="error"/>
        <human value="Only 'choice' items can have options"/>
        <xpath value="f:type/@value=('choice','open-choice') or not(f:option or f:options)"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="option.empty() or options.empty()"/>
        </extension>
        <key value="que-4"/>
        <severity value="error"/>
        <human value="A question cannot have both option and options"/>
        <xpath value="not(f:options and f:option)"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="type!='display' or (required.empty() and repeats.empty())"/>
        </extension>
        <key value="que-6"/>
        <severity value="error"/>
        <human value="Required and repeat aren't permitted for display items"/>
        <xpath value="not(f:type/@value='display' and (f:required or f:repeats))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.item.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.item.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.item.extension"/>
      <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.item.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.item.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.item.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.item.linkId"/>
      <short value="To link questionnaire with questionnaire response"/>
      <definition value="An identifier that is unique within the Questionnaire allowing linkage to the equivalent
       item 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 identifier (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 items to be included and may have
       some items that repeat, so linkage based on position alone is not sufficient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.item.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.item.concept"/>
      <short value="Concept that represents this item within in 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 Questionnaire resources) to formal
       terminologies."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.item.concept"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <condition value="que-3"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for questionnaires, groups and 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.item.text"/>
      <short value="Primary text for the item"/>
      <definition value="The name of a section, the text of a question or text content for a text item."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.item.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.item.type"/>
      <short value="group | display | boolean | decimal | integer | date | dateTime +"/>
      <definition value="Identifies the type of questionnaire item this is - whether text for display, a grouping
       of other items or a particular type of data to be captured (string, integer, coded choice,
       etc.)."/>
      <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="1"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.item.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="Distinguishes groups from questions and display text and indicates data type for questions"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/item-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="N/A - MIF rather than RIM level"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.item.required"/>
      <short value="Whether the group must be included in data results"/>
      <definition value="If true, indicates that the item must be present in a &quot;completed&quot; QuestionnaireResponse.
        If false, the item may be skipped when answering the questionnaire."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Questionnaire.item.required"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
      <condition value="que-6"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.item.repeats"/>
      <short value="Whether the group may repeat"/>
      <definition value="Whether the item may occur multiple times in the instance, containing multiple sets of
       answers."/>
      <requirements value="Items 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.item.repeats"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
      <condition value="que-6"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.item.options"/>
      <short value="Valueset containing permitted answers"/>
      <definition value="Reference to a value set containing 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.item.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"/>
      <condition value="que-5"/>
      <mapping>
        <identity value="rim"/>
        <map value="Not supported - MIF/templating layer to capture value set"/>
      </mapping>
    </element>
    <element>
      <path value="Questionnaire.item.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.item.option"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <condition value="que-4"/>
      <condition value="que-5"/>
      <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.item.item"/>
      <short value="Nested questionnaire items"/>
      <definition value="Allows text, questions and other groups to be nested beneath a question or group."/>
      <requirements value="Reports can consist of complex nested groups."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Questionnaire.item.item"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <nameReference value="item"/>
      <condition value="que-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Questionnaire"/>
      <short value="A structured set of questions"/>
      <definition value="A structured set of questions intended to guide the collection of answers. The questions
       are ordered and grouped into coherent subsets, corresponding to the structure of the grouping
       of the underlying questions."/>
      <alias value="Form"/>
      <alias value="CRF"/>
      <alias value="Survey"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Questionnaire"/>
      </type>
    </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 identifier (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.  Each group
       in the Questionnaire resource SHALL have a link so that it can be referenced in a QuestionnaireAnswe
      rs resource."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </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 identifier (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.  Each question
       in the Questionnaire resource SHALL have a link so that it can be referenced in a QuestionnaireAnswe
      rs resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </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.  Each question
       SHALL specify the answer type. The answer type SHALL NOT be Attachment or Resource."/>
      <min value="0"/>
      <max value="1"/>
      <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/gao-answer-format"/>
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>