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

Contraindication.questionnaire.xml

Raw XML (canonical form)

Generated Questionnaire for Contraindication

<?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:92c7e508-cb31-499b-9ae1-38176d3209bf"/>
      <name value="Type options for Contraindication.author"/>
      <description value="Type options for Contraindication.author"/>
      <status value="active"/>
      <expansion>
        <timestamp value="2015-02-23T09:19:46+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="Device"/>
          <display value="Device"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
  </identifier>
  <status value="draft"/>
  <date value="2015-02-23T09:07:27+11:00"/>
  <publisher value="HL7 FHIR Project (Clinical Decision Support)"/>
  <group>
    <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
      <valueString value="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."/>
    </extension>
    <linkId value="Contraindication"/>
    <title value="Clinical issue with action"/>
    <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="Contraindication.id"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.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="Contraindication.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="Contraindication.implicitRules"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.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="Contraindication.language"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.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="Contraindication.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="Contraindication.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 patient whose record the contraindication is associated with."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="Contraindication.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="Contraindication.patient.value"/>
        <text value="Associated patient"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Identifies the general type of issue identified."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="Contraindication.category"/>
      <text value="E.g. Drug-drug, duplicate therapy, etc."/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.category.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="Contraindication.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="Indicates the degree of importance associated with the identified issue based on the potential impact on the patient."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="code"/>
      </extension>
      <linkId value="Contraindication.severity"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.severity.value"/>
        <text value="severity"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Indicates the resource representing the current activity or proposed activity that. There&#39;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."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Reference"/>
      </extension>
      <linkId value="Contraindication.implicated"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
          <valueString value="/_search?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="Contraindication.implicated.value"/>
        <text value="Problem resource"/>
        <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 textual explanation of the contraindication. Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="string"/>
      </extension>
      <linkId value="Contraindication.detail"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.detail.value"/>
        <text value="Description and context"/>
        <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 or date-time when the contraindication was initially identified."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="datetime"/>
      </extension>
      <linkId value="Contraindication.date"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.date.value"/>
        <text value="When identified"/>
        <type value="dateTime"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="Identifies the provider or software that identified the."/>
      </extension>
      <linkId value="Contraindication.author"/>
      <text value="Who found issue?"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.author._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="Contraindication.author._Practitioner"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Practitioner?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="Contraindication.author._Practitioner.value"/>
            <text value="Practitioner"/>
            <type value="reference"/>
            <required value="false"/>
            <repeats value="false"/>
          </question>
        </group>
        <group>
          <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
            <valueString value="Reference"/>
          </extension>
          <linkId value="Contraindication.author._Device"/>
          <question>
            <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
              <valueString value="/Device?subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
            </extension>
            <linkId value="Contraindication.author._Device.value"/>
            <text value="Device"/>
            <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="Business identifier associated with the contraindication record."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="Identifier"/>
      </extension>
      <linkId value="Contraindication.identifier"/>
      <text value="Unique id for the contraindication"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.identifier.label"/>
        <text value="label:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="Contraindication.identifier.system"/>
        <text value="system:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
      <question>
        <linkId value="Contraindication.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 literature, knowledge-base or similar reference that describes the propensity for the contraindication identified."/>
      </extension>
      <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
        <valueString value="uri"/>
      </extension>
      <linkId value="Contraindication.reference"/>
      <required value="false"/>
      <repeats value="true"/>
      <question>
        <linkId value="Contraindication.reference.value"/>
        <text value="Authority for issue"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </question>
    </group>
    <group>
      <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
        <valueString value="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."/>
      </extension>
      <linkId value="Contraindication.mitigation"/>
      <title value="Step taken to address"/>
      <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="Contraindication.mitigation.id"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="Contraindication.mitigation.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="Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified contraindication. The &quot;text&quot; component can be used for detail or when no appropriate code exists."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="CodeableConcept"/>
        </extension>
        <linkId value="Contraindication.mitigation.action"/>
        <text value="What mitigation?"/>
        <required value="true"/>
        <repeats value="true"/>
        <question>
          <linkId value="Contraindication.mitigation.action.coding"/>
          <text value="code:"/>
          <type value="open-choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
        <question>
          <linkId value="Contraindication.mitigation.action.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="Indicates when the mitigating action was documented. This may not be the same as when the mitigating step was actually taken."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="datetime"/>
        </extension>
        <linkId value="Contraindication.mitigation.date"/>
        <required value="false"/>
        <repeats value="true"/>
        <question>
          <linkId value="Contraindication.mitigation.date.value"/>
          <text value="Date committed"/>
          <type value="dateTime"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
      <group>
        <extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
          <valueString value="Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring."/>
        </extension>
        <extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
          <valueString value="Reference"/>
        </extension>
        <linkId value="Contraindication.mitigation.author"/>
        <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="Contraindication.mitigation.author.value"/>
          <text value="Who is committing?"/>
          <type value="reference"/>
          <required value="false"/>
          <repeats value="false"/>
        </question>
      </group>
    </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.