Visionprescription.questionnaire.xml

Generated Questionnaire for VisionPrescription

<?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:396f06b0-c7f8-4078-8737-0ee4fab11e75"/>
      <name value="Type options for VisionPrescription.reason[x]"/>
      <description value="Type options for VisionPrescription.reason[x]"/>
      <status value="active"/>
      <expansion>
        <identifier value="urn:uuid:f96d94a2-8c39-4511-851e-b4b052f59d71"/>
        <timestamp value="2015-03-27T00:23:45+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="Condition"/>
          <display value="Condition"/>
        </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 (Financial Management)"/>
  <group>
    <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
      <valueString value="An authorization for the supply of glasses and/or contact lenses to a patient."/>
    </extension>
    <linkId value="VisionPrescription"/>
    <title value="Prescription for Vision correction products for a patient"/>
    <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="VisionPrescription.id"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="VisionPrescription.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="VisionPrescription.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="VisionPrescription.implicitRules"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="VisionPrescription.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="VisionPrescription.language"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="VisionPrescription.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="VisionPrescription.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="VisionPrescription.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="Business identifier which may be used by other parties to reference or identify the prescription."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Identifier"/>
      </extension>
      <linkId value="VisionPrescription.identifier"/>
      <text value="Business identifier"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="VisionPrescription.identifier.label"/>
        <text value="label:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="VisionPrescription.identifier.system"/>
        <text value="system:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="VisionPrescription.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 date (and perhaps time) when the prescription was written."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="datetime"/>
      </extension>
      <linkId value="VisionPrescription.dateWritten"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="VisionPrescription.dateWritten.value"/>
        <text value="When prescription was authorized"/>
        <type value="dateTime"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="A link to a resource representing the person to whom the Vision products will be supplied."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="VisionPrescription.patient"/>
      <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=$encounter"/>
        </extension>
        <linkId value="VisionPrescription.patient.value"/>
        <text value="Who prescription is for"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="The healthcare professional responsible for authorizing the prescription."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="VisionPrescription.prescriber"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
          <valueString value="/Practitioner?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="VisionPrescription.prescriber.value"/>
        <text value="Who authorizes the Vision product"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="A link to a resource that identifies the particular occurrence of contact between patient and health care provider."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="VisionPrescription.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="VisionPrescription.encounter.value"/>
        <text value="Created during encounter / admission / stay"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Can be the reason or the indication for writing the prescription."/>
      </extension>
      <linkId value="VisionPrescription.reason[x]"/>
      <text value="Reason or indication for writing the prescription"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="VisionPrescription.reason[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="VisionPrescription.reason[x]._CodeableConcept"/>
          <text value="CodeableConcept"/>
          <question>
            <linkId value="VisionPrescription.reason[x]._CodeableConcept.coding"/>
            <text value="code:"/>
            <type value="open-choice"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
          <question>
            <linkId value="VisionPrescription.reason[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="VisionPrescription.reason[x]._Condition"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Condition?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="VisionPrescription.reason[x]._Condition.value"/>
            <text value="Condition"/>
            <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="Deals with details of the dispense part of the supply specification."/>
      </extension>
      <linkId value="VisionPrescription.dispense"/>
      <title value="Vision supply authorization"/>
      <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="VisionPrescription.dispense.id"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.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="Identifies the type of Vision correction product which is required for the patient."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="Coding"/>
        </extension>
        <linkId value="VisionPrescription.dispense.product"/>
        <required value="true"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.product.value"/>
          <text value="Product to be supplied"/>
          <type value="open-choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="The eye for which the lens applies."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="code"/>
        </extension>
        <linkId value="VisionPrescription.dispense.eye"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.eye.value"/>
          <text value="eye"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Lens power measured in diopters (0.25 units)."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.sphere"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.sphere.value"/>
          <text value="Lens sphere"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Power adjustment for astigmatism measured in diopters (0.25 units)."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.cylinder"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.cylinder.value"/>
          <text value="Lens cylinder"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Adjustment for astigmatism measured in integer degrees."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="integer"/>
        </extension>
        <linkId value="VisionPrescription.dispense.axis"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.axis.value"/>
          <text value="Lens axis"/>
          <type value="integer"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Amount of prism to compensate for eye alignment in fractional units."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.prism"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.prism.value"/>
          <text value="Lens prism"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="The relative base, or reference lens edge, for the prism."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="code"/>
        </extension>
        <linkId value="VisionPrescription.dispense.base"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.base.value"/>
          <text value="base"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Power adjustment for multifocal lenses measured in diopters (0.25 units)."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.add"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.add.value"/>
          <text value="Lens add"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Contact lens power measured in diopters (0.25 units)."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.power"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.power.value"/>
          <text value="Contact Lens power"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Back Curvature measured in millimeters."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.backCurve"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.backCurve.value"/>
          <text value="Contact lens back curvature"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Contact lens diameter measured in millimeters."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="decimal"/>
        </extension>
        <linkId value="VisionPrescription.dispense.diameter"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.diameter.value"/>
          <text value="Contact Lens diameter"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="The recommended maximum wear period for the lens."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="Quantity"/>
        </extension>
        <linkId value="VisionPrescription.dispense.duration"/>
        <text value="Lens wear duration"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.duration.comparator"/>
          <text value="comp:"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
        <question>
          <linkId value="VisionPrescription.dispense.duration.value"/>
          <text value="value:"/>
          <type value="decimal"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
        <question>
          <linkId value="VisionPrescription.dispense.duration.units"/>
          <text value="units:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
        <question>
          <linkId value="VisionPrescription.dispense.duration.code"/>
          <text value="coded units:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
        <question>
          <linkId value="VisionPrescription.dispense.duration.system"/>
          <text value="units system:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Special color or pattern."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="string"/>
        </extension>
        <linkId value="VisionPrescription.dispense.color"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.color.value"/>
          <text value="Lens add"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Brand recommendations or restrictions."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="string"/>
        </extension>
        <linkId value="VisionPrescription.dispense.brand"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.brand.value"/>
          <text value="Lens add"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Notes for special requirements such as coatings and lens materials."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="string"/>
        </extension>
        <linkId value="VisionPrescription.dispense.notes"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="VisionPrescription.dispense.notes.value"/>
          <text value="Notes for coatings"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
    </group>
  </group>
</Questionnaire>