Deviceuserequest.questionnaire.xml

Generated Questionnaire for DeviceUseRequest

<?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:c558e76b-0904-4c30-becf-ce194b4b326f"/>
      <name value="Type options for DeviceUseRequest.bodySite[x]"/>
      <description value="Type options for DeviceUseRequest.bodySite[x]"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:4107175a-f902-4879-b25b-0a15b9223689"/>
        <timestamp value="2015-03-27T00:19:22+11:00"/>
        <contains>
          <system value="http://hl7.org/fhir/data-types"/>
          <code value="CodeableConcept"/>
          <display value="CodeableConcept"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="BodySite"/>
          <display value="BodySite"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="vs3"/>
      <url value="urn:uuid:e511534d-c70b-4c92-b8e5-b0437237fd12"/>
      <name value="Type options for DeviceUseRequest.timing[x]"/>
      <description value="Type options for DeviceUseRequest.timing[x]"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:89da2957-bb46-49e4-b7e2-8d4437b86f32"/>
        <timestamp value="2015-03-27T00:19:22+11:00"/>
        <contains>
          <system value="http://hl7.org/fhir/data-types"/>
          <code value="Timing"/>
          <display value="Timing"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/data-types"/>
          <code value="Period"/>
          <display value="Period"/>
        </contains>
        <contains>
          <system value="http://hl7.org/fhir/data-types"/>
          <code value="dateTime"/>
          <display value="dateTime"/>
        </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 (Health Care Devices)"/>
  <group>
    <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
      <valueString value="Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker."/>
    </extension>
    <linkId value="DeviceUseRequest"/>
    <title value="A request for a patient to use or be given a medical device"/>
    <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="DeviceUseRequest.id"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.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="DeviceUseRequest.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="DeviceUseRequest.implicitRules"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.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="DeviceUseRequest.language"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.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="DeviceUseRequest.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="DeviceUseRequest.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="Indicates the site on the subject&#39;s body where the device should be used ( i.e. the target site)."/>
      </extension>
      <linkId value="DeviceUseRequest.bodySite[x]"/>
      <text value="Target body site"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.bodySite[x]._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="CodeableConcept"/>
          </extension>
          <linkId value="DeviceUseRequest.bodySite[x]._CodeableConcept"/>
          <text value="CodeableConcept"/>
          <question>
            <linkId value="DeviceUseRequest.bodySite[x]._CodeableConcept.coding"/>
            <text value="code:"/>
            <type value="open-choice"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
          <question>
            <linkId value="DeviceUseRequest.bodySite[x]._CodeableConcept.text"/>
            <text value="text:"/>
            <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="Reference"/>
          </extension>
          <linkId value="DeviceUseRequest.bodySite[x]._BodySite"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/BodySite?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="DeviceUseRequest.bodySite[x]._BodySite.value"/>
            <text value="BodySite"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The status of the request."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="code"/>
      </extension>
      <linkId value="DeviceUseRequest.status"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.status.value"/>
        <text value="status"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The details of the device  to be used."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="DeviceUseRequest.device"/>
      <required value="true"/>
      <repeats value="true"/>
      <question>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
          <valueString value="/Device?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="DeviceUseRequest.device.value"/>
        <text value="Device requested"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="An encounter that provides additional context in which this request is made."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="DeviceUseRequest.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="DeviceUseRequest.encounter.value"/>
        <text value="Encounter motivating request"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Identifiers assigned to this order by the orderer or by the receiver."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Identifier"/>
      </extension>
      <linkId value="DeviceUseRequest.identifier"/>
      <text value="Request identifier"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.identifier.label"/>
        <text value="label:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="DeviceUseRequest.identifier.system"/>
        <text value="system:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="DeviceUseRequest.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="Reason or justification for the use of this device."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="DeviceUseRequest.indication"/>
      <text value="Reason for request"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.indication.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="DeviceUseRequest.indication.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="Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="string"/>
      </extension>
      <linkId value="DeviceUseRequest.notes"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.notes.value"/>
        <text value="Notes or comments"/>
        <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 proposed act must be performed if the indicated conditions occur, e.g.., shortness of breath, SpO2 less than x%."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="DeviceUseRequest.prnReason"/>
      <text value="PRN"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.prnReason.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="DeviceUseRequest.prnReason.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="DeviceUseRequest.orderedOn"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.orderedOn.value"/>
        <text value="When ordered"/>
        <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 time at which the request was made/recorded."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="datetime"/>
      </extension>
      <linkId value="DeviceUseRequest.recordedOn"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.recordedOn.value"/>
        <text value="When recorded"/>
        <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 will use the device."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="DeviceUseRequest.subject"/>
      <required value="true"/>
      <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="DeviceUseRequest.subject.value"/>
        <text value="Focus of request"/>
        <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 timing schedule for the use of the device The Schedule data type allows many different expressions, for example. &quot;Every 8 hours&quot;; &quot;Three times a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;; &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;."/>
      </extension>
      <linkId value="DeviceUseRequest.timing[x]"/>
      <text value="Schedule for use"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.timing[x]._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="Schedule"/>
          </extension>
          <linkId value="DeviceUseRequest.timing[x]._Timing"/>
          <text value="Timing"/>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Period"/>
          </extension>
          <linkId value="DeviceUseRequest.timing[x]._Period"/>
          <text value="Period"/>
          <question>
            <linkId value="DeviceUseRequest.timing[x]._Period.low"/>
            <text value="start:"/>
            <type value="dateTime"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
          <question>
            <linkId value="DeviceUseRequest.timing[x]._Period.end"/>
            <text value="end:"/>
            <type value="dateTime"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="datetime"/>
          </extension>
          <linkId value="DeviceUseRequest.timing[x]._dateTime"/>
          <question>
            <linkId value="DeviceUseRequest.timing[x]._dateTime.value"/>
            <text value="dateTime"/>
            <type value="dateTime"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Characterizes how quickly the  use of device must be initiated. Includes concepts such as stat, urgent, routine."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="code"/>
      </extension>
      <linkId value="DeviceUseRequest.priority"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="DeviceUseRequest.priority.value"/>
        <text value="priority"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
  </group>
</Questionnaire>