This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Communicationrequest.questionnaire.xml

Raw XML (canonical form)

Generated Questionnaire for CommunicationRequest

<?xml version="1.0" encoding="UTF-8"?>

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="qs1"/>
  <contained>
    <ValueSet>
      <id value="vs2"/>
      <url value="urn:uuid:475dd90a-e13f-43e0-9e86-479ecedb5707"/>
      <name value="Type options for CommunicationRequest.sender"/>
      <description value="Type options for CommunicationRequest.sender"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:2fbf4e7d-5685-44f0-98ce-51d57a2df808"/>
        <timestamp value="2015-03-27T00:18:27+11:00"/>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Patient"/>
          <display value="Patient"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Practitioner"/>
          <display value="Practitioner"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Device"/>
          <display value="Device"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="RelatedPerson"/>
          <display value="RelatedPerson"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Organization"/>
          <display value="Organization"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="vs3"/>
      <url value="urn:uuid:bdffb194-3d5d-4922-bf44-1a48c511e930"/>
      <name value="Type options for CommunicationRequest.recipient"/>
      <description value="Type options for CommunicationRequest.recipient"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:d3047e80-71f5-41bf-b042-a49c846a0952"/>
        <timestamp value="2015-03-27T00:18:27+11:00"/>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Patient"/>
          <display value="Patient"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Device"/>
          <display value="Device"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="RelatedPerson"/>
          <display value="RelatedPerson"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Practitioner"/>
          <display value="Practitioner"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="vs4"/>
      <url value="urn:uuid:42686183-e8d2-4457-9cb8-adb701a287b8"/>
      <name value="Type options for CommunicationRequest.payload.content[x]"/>
      <description value="Type options for CommunicationRequest.payload.content[x]"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:6ef84951-038a-40e3-acbd-0a4f11194ab2"/>
        <timestamp value="2015-03-27T00:18:27+11:00"/>
        <contains>
          <system value="http://hl7.org/fhir/data-types"/>
          <code value="string"/>
          <display value="string"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/data-types"/>
          <code value="Attachment"/>
          <display value="Attachment"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Resource"/>
          <display value="Resource"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="vs5"/>
      <url value="urn:uuid:e85eb9be-f8e1-489b-a669-011e49f0da04"/>
      <name value="Type options for CommunicationRequest.requester"/>
      <description value="Type options for CommunicationRequest.requester"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:4b033067-c5ce-4581-b750-1f066213b8c7"/>
        <timestamp value="2015-03-27T00:18:27+11:00"/>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Practitioner"/>
          <display value="Practitioner"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Patient"/>
          <display value="Patient"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="RelatedPerson"/>
          <display value="RelatedPerson"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
  </identifier>
  <status value="draft"/>
  <date value="2015-03-27T00:13:00+11:00"/>
  <publisher value="HL7 FHIR Project (Patient Care)"/>
  <group>
    <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
      <valueString value="A request to convey information. E.g., the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition."/>
    </extension>
    <linkId value="CommunicationRequest"/>
    <title value="A request for information to be sent to a receiver"/>
    <required value="true"/>
    <repeats value="false"/>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes. 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."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="string"/>
      </extension>
      <linkId value="CommunicationRequest.id"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.id.value"/>
        <text value="Logical id of this artefact"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString 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."/>
      </extension>
      <linkId value="CommunicationRequest.meta"/>
      <text value="Metadata about the resource"/>
      <required value="false"/>
      <repeats value="true"/>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString 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. 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."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="uri"/>
      </extension>
      <linkId value="CommunicationRequest.implicitRules"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.implicitRules.value"/>
        <text value="A set of rules under which this content was created"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The base language in which the resource is written. 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)."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="code"/>
      </extension>
      <linkId value="CommunicationRequest.language"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.language.value"/>
        <text value="language"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString 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. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      </extension>
      <linkId value="CommunicationRequest.text"/>
      <text value="Text summary of the resource, for human interpretation"/>
      <required value="false"/>
      <repeats value="true"/>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString 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. 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."/>
      </extension>
      <linkId value="CommunicationRequest.contained"/>
      <text value="Contained, inline Resources"/>
      <required value="false"/>
      <repeats value="true"/>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="A unique ID of this request for reference purposes. It must be provided if user wants it returned as part of any output, otherwise it will be auto-generated, if needed, by CDS system. Does not need to be the actual ID of the source system."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Identifier"/>
      </extension>
      <linkId value="CommunicationRequest.identifier"/>
      <text value="Unique identifier"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.identifier.label"/>
        <text value="label:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="CommunicationRequest.identifier.system"/>
        <text value="system:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="CommunicationRequest.identifier.value"/>
        <text value="value:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The type of message such as alert, notification, reminder, instruction, etc."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="CommunicationRequest.category"/>
      <text value="Message category"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.category.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="CommunicationRequest.category.text"/>
        <text value="text:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The entity (e.g., person, organization, clinical information system, or device) which is the source of the communication."/>
      </extension>
      <linkId value="CommunicationRequest.sender"/>
      <text value="Message sender"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.sender._type"/>
        <text value="type"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
        <options>
          <reference value="#vs2"/>
        </options>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.sender._Patient"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Patient?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.sender._Patient.value"/>
            <text value="Patient"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.sender._Practitioner"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Practitioner?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.sender._Practitioner.value"/>
            <text value="Practitioner"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.sender._Device"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Device?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.sender._Device.value"/>
            <text value="Device"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.sender._RelatedPerson"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/RelatedPerson?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.sender._RelatedPerson.value"/>
            <text value="RelatedPerson"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.sender._Organization"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Organization?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.sender._Organization.value"/>
            <text value="Organization"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The entity (e.g., person, organization, clinical information system, or device) which is the intended target of the communication."/>
      </extension>
      <linkId value="CommunicationRequest.recipient"/>
      <text value="Message recipient"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.recipient._type"/>
        <text value="type"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
        <options>
          <reference value="#vs3"/>
        </options>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.recipient._Patient"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Patient?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.recipient._Patient.value"/>
            <text value="Patient"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.recipient._Device"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Device?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.recipient._Device.value"/>
            <text value="Device"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.recipient._RelatedPerson"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/RelatedPerson?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.recipient._RelatedPerson.value"/>
            <text value="RelatedPerson"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.recipient._Practitioner"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Practitioner?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.recipient._Practitioner.value"/>
            <text value="Practitioner"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Text, attachment(s), or resource(s) to be communicated to the recipient."/>
      </extension>
      <linkId value="CommunicationRequest.payload"/>
      <title value="Message payload"/>
      <required value="false"/>
      <repeats value="true"/>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="unique id for the element within a resource (for internal references)."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="string"/>
        </extension>
        <linkId value="CommunicationRequest.payload.id"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="CommunicationRequest.payload.id.value"/>
          <text value="xml:id (or equivalent in JSON)"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="An individual message part for multi-part messages."/>
        </extension>
        <linkId value="CommunicationRequest.payload.content[x]"/>
        <text value="Message part content"/>
        <required value="true"/>
        <repeats value="true"/>
        <question>
          <linkId value="CommunicationRequest.payload.content[x]._type"/>
          <text value="type"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
          <options>
            <reference value="#vs4"/>
          </options>
          <group>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
              <valueString value="string"/>
            </extension>
            <linkId value="CommunicationRequest.payload.content[x]._string"/>
            <question>
              <linkId value="CommunicationRequest.payload.content[x]._string.value"/>
              <text value="string"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </question>
          </group>
          <group>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
              <valueString value="Attachment"/>
            </extension>
            <linkId value="CommunicationRequest.payload.content[x]._Attachment"/>
            <text value="Attachment"/>
          </group>
          <group>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
              <valueString value="Reference"/>
            </extension>
            <linkId value="CommunicationRequest.payload.content[x]._Resource"/>
            <question>
              <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
                <valueString value="/Resource?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
              </extension>
              <linkId value="CommunicationRequest.payload.content[x]._Resource.value"/>
              <text value="Resource"/>
              <type value="reference"/>
              <required value="false"/>
              <repeats value="false"/>
            </question>
          </group>
        </question>
      </group>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The communication medium, e.g., email, fax."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="CommunicationRequest.medium"/>
      <text value="Communication medium"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.medium.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="CommunicationRequest.medium.text"/>
        <text value="text:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The responsible person who authorizes this order, e.g., physician. This may be different than the author of the order statement, e.g., clerk, who may have entered the statement into the order entry application."/>
      </extension>
      <linkId value="CommunicationRequest.requester"/>
      <text value="Requester of communication"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.requester._type"/>
        <text value="type"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
        <options>
          <reference value="#vs5"/>
        </options>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.requester._Practitioner"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Practitioner?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.requester._Practitioner.value"/>
            <text value="Practitioner"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.requester._Patient"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Patient?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.requester._Patient.value"/>
            <text value="Patient"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="CommunicationRequest.requester._RelatedPerson"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/RelatedPerson?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="CommunicationRequest.requester._RelatedPerson.value"/>
            <text value="RelatedPerson"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The status of the proposal or order."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="code"/>
      </extension>
      <linkId value="CommunicationRequest.status"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.status.value"/>
        <text value="status"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The encounter within which the communication request was created."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="CommunicationRequest.encounter"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
          <valueString value="/Encounter?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="CommunicationRequest.encounter.value"/>
        <text value="Encounter leading to message"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The time when this communication is to occur."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="datetime"/>
      </extension>
      <linkId value="CommunicationRequest.scheduledTime"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.scheduledTime.value"/>
        <text value="When scheduled"/>
        <type value="dateTime"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The reason or justification for the communication request."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="CommunicationRequest.reason"/>
      <text value="Indication for message"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.reason.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="CommunicationRequest.reason.text"/>
        <text value="text:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The time when the request was made."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="datetime"/>
      </extension>
      <linkId value="CommunicationRequest.orderedOn"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.orderedOn.value"/>
        <text value="When ordered or proposed"/>
        <type value="dateTime"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The patient who is the focus of this communication request."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="CommunicationRequest.subject"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
          <valueString value="/Patient?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="CommunicationRequest.subject.value"/>
        <text value="Focus of message"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="CommunicationRequest.priority"/>
      <text value="Message urgency"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="CommunicationRequest.priority.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="CommunicationRequest.priority.text"/>
        <text value="text:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
  </group>
</Questionnaire>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.