2nd DSTU Draft For Comment
This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
Generated Questionnaire for Contraindication
{
"resourceType": "Questionnaire",
"id": "qs1",
"contained": [
{
"resourceType": "ValueSet",
"id": "vs2",
"url": "urn:uuid:92c7e508-cb31-499b-9ae1-38176d3209bf",
"name": "Type options for Contraindication.author",
"description": "Type options for Contraindication.author",
"status": "active",
"expansion": {
"timestamp": "2015-02-23T09:19:46+11:00",
"contains": [
{
"system": "http://hl7.org/fhir/resource-types",
"code": "Practitioner",
"display": "Practitioner"
},
{
"system": "http://hl7.org/fhir/resource-types",
"code": "Device",
"display": "Device"
}
]
}
}
],
"identifier": [
{
"system": "urn:ietf:rfc:3986"
}
],
"status": "draft",
"date": "2015-02-23T09:07:27+11:00",
"publisher": "HL7 FHIR Project (Clinical Decision Support)",
"group": {
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient. E.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc."
}
],
"linkId": "Contraindication",
"title": "Clinical issue with action",
"required": true,
"repeats": false,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "Contraindication.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.id.value",
"text": "Logical id of this artefact",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
}
],
"linkId": "Contraindication.meta",
"text": "Metadata about the resource",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "uri"
}
],
"linkId": "Contraindication.implicitRules",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.implicitRules.value",
"text": "A set of rules under which this content was created",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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\n\nNot 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)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "code"
}
],
"linkId": "Contraindication.language",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.language.value",
"text": "language",
"type": "choice",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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 \"clinically safe\" 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."
}
],
"linkId": "Contraindication.text",
"text": "Text summary of the resource, for human interpretation",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
}
],
"linkId": "Contraindication.contained",
"text": "Contained, inline Resources",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Indicates the patient whose record the contraindication is associated with."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "Contraindication.patient",
"required": false,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Patient?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "Contraindication.patient.value",
"text": "Associated patient",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Identifies the general type of issue identified."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "Contraindication.category",
"text": "E.g. Drug-drug, duplicate therapy, etc.",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.category.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "Contraindication.category.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Indicates the degree of importance associated with the identified issue based on the potential impact on the patient."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "code"
}
],
"linkId": "Contraindication.severity",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.severity.value",
"text": "severity",
"type": "choice",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Indicates the resource representing the current activity or proposed activity that. There's an implicit constraint on the number of implicated resources based on Contraindication.type. E.g. For drug-drug, there would be more than one. For timing, there would typically only be one."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "Contraindication.implicated",
"required": false,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/_search?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "Contraindication.implicated.value",
"text": "Problem resource",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "A textual explanation of the contraindication. Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "Contraindication.detail",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.detail.value",
"text": "Description and context",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The date or date-time when the contraindication was initially identified."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "datetime"
}
],
"linkId": "Contraindication.date",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.date.value",
"text": "When identified",
"type": "dateTime",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Identifies the provider or software that identified the."
}
],
"linkId": "Contraindication.author",
"text": "Who found issue?",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.author._type",
"text": "type",
"type": "choice",
"required": false,
"repeats": false,
"options": {
"reference": "#vs2"
},
"group": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "Contraindication.author._Practitioner",
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Practitioner?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "Contraindication.author._Practitioner.value",
"text": "Practitioner",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "Contraindication.author._Device",
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Device?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "Contraindication.author._Device.value",
"text": "Device",
"type": "reference",
"required": false,
"repeats": false
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Business identifier associated with the contraindication record."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Identifier"
}
],
"linkId": "Contraindication.identifier",
"text": "Unique id for the contraindication",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.identifier.label",
"text": "label:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "Contraindication.identifier.system",
"text": "system:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "Contraindication.identifier.value",
"text": "value:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The literature, knowledge-base or similar reference that describes the propensity for the contraindication identified."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "uri"
}
],
"linkId": "Contraindication.reference",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.reference.value",
"text": "Authority for issue",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the contraindicaiton from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action."
}
],
"linkId": "Contraindication.mitigation",
"title": "Step taken to address",
"required": false,
"repeats": true,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "unique id for the element within a resource (for internal references)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "Contraindication.mitigation.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.mitigation.id.value",
"text": "xml:id (or equivalent in JSON)",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified contraindication. The \"text\" component can be used for detail or when no appropriate code exists."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "Contraindication.mitigation.action",
"text": "What mitigation?",
"required": true,
"repeats": true,
"question": [
{
"linkId": "Contraindication.mitigation.action.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "Contraindication.mitigation.action.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Indicates when the mitigating action was documented. This may not be the same as when the mitigating step was actually taken."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "datetime"
}
],
"linkId": "Contraindication.mitigation.date",
"required": false,
"repeats": true,
"question": [
{
"linkId": "Contraindication.mitigation.date.value",
"text": "Date committed",
"type": "dateTime",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "Contraindication.mitigation.author",
"required": false,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Practitioner?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "Contraindication.mitigation.author.value",
"text": "Who is committing?",
"type": "reference",
"required": false,
"repeats": false
}
]
}
]
}
]
}
}
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.
© HL7.org 2011+. FHIR DSTU (v0.4.0-4167) generated on Mon, Feb 23, 2015 09:19+1100.
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