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 Supply
<?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:f1bac327-f93c-41b3-8bfa-7f3aad6cd29b"/>
<name value="Type options for Supply.orderedItem"/>
<description value="Type options for Supply.orderedItem"/>
<status value="active"/>
<expansion>
<timestamp value="2015-02-23T09:24:13+11:00"/>
<contains>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Medication"/>
<display value="Medication"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Substance"/>
<display value="Substance"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Device"/>
<display value="Device"/>
</contains>
</expansion>
</ValueSet>
</contained>
<contained>
<ValueSet>
<id value="vs3"/>
<url value="urn:uuid:8609c70c-f7ec-46cc-9e9d-a5d86e6f34c2"/>
<name value="Type options for Supply.dispense.suppliedItem"/>
<description value="Type options for Supply.dispense.suppliedItem"/>
<status value="active"/>
<expansion>
<timestamp value="2015-02-23T09:24:13+11:00"/>
<contains>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Medication"/>
<display value="Medication"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Substance"/>
<display value="Substance"/>
</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 (Orders and Observations)"/>
<group>
<extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
<valueString value="A supply - a request for something, and provision of what is supplied."/>
</extension>
<linkId value="Supply"/>
<title value="A supply - request and provision"/>
<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="Supply.id"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.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="Supply.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="Supply.implicitRules"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.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="Supply.language"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.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 "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."/>
</extension>
<linkId value="Supply.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="Supply.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="Category of supply, e.g. central, non-stock, etc. This is used to support work flows associated with the supply process."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Supply.kind"/>
<text value="The kind of supply (central, non-stock, etc)"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.kind.coding"/>
<text value="code:"/>
<type value="open-choice"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.kind.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="Unique identifier for this supply request. This is assigned by the orderer, and used to refer to this order in other external standards."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Identifier"/>
</extension>
<linkId value="Supply.identifier"/>
<text value="Unique identifier"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.identifier.label"/>
<text value="label:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.identifier.system"/>
<text value="system:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.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="Status of the supply request."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="code"/>
</extension>
<linkId value="Supply.status"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.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 item that is requested to be supplied. Note that there's a difference between a prescription - an instruction to take a medication, along with a (sometimes) implicit supply, and an explicit request to supply, with no explicit instructions."/>
</extension>
<linkId value="Supply.orderedItem"/>
<text value="Medication, Substance, or Device requested to be supplied"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.orderedItem._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="Supply.orderedItem._Medication"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Medication?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.orderedItem._Medication.value"/>
<text value="Medication"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
<group>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Reference"/>
</extension>
<linkId value="Supply.orderedItem._Substance"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Substance?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.orderedItem._Substance.value"/>
<text value="Substance"/>
<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="Supply.orderedItem._Device"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Device?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.orderedItem._Device.value"/>
<text value="Device"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
</question>
</group>
<group>
<extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
<valueString value="A link to a resource representing the person whom the ordered item is for."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Reference"/>
</extension>
<linkId value="Supply.patient"/>
<required value="false"/>
<repeats value="true"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Patient?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.patient.value"/>
<text value="Patient for whom the item is supplied"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
<group>
<extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
<valueString value="Indicates the details of the dispense event such as the days supply and quantity of a supply dispensed."/>
</extension>
<linkId value="Supply.dispense"/>
<title value="Supply details"/>
<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="Supply.dispense.id"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.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="Identifier assigned by the dispensing facility when the item(s) is dispensed. This is assigned by the dispenser, and used to refer to this order in other external standards."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Identifier"/>
</extension>
<linkId value="Supply.dispense.identifier"/>
<text value="External identifier"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.identifier.label"/>
<text value="label:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.identifier.system"/>
<text value="system:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.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="A code specifying the state of the dispense event."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="code"/>
</extension>
<linkId value="Supply.dispense.status"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.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="Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="CodeableConcept"/>
</extension>
<linkId value="Supply.dispense.type"/>
<text value="Category of dispense event"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.type.coding"/>
<text value="code:"/>
<type value="open-choice"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.type.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 amount of supply that has been dispensed. Includes unit of measure."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Quantity"/>
</extension>
<linkId value="Supply.dispense.quantity"/>
<text value="Amount dispensed"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.quantity.comparator"/>
<text value="comp:"/>
<type value="choice"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.quantity.value"/>
<text value="value:"/>
<type value="decimal"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.quantity.units"/>
<text value="units:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.quantity.code"/>
<text value="coded units:"/>
<type value="string"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.quantity.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="Identifies the medication or substance or device being dispensed. This is either a link to a resource representing the details of the item or a simple attribute carrying a code that identifies the item from a known list."/>
</extension>
<linkId value="Supply.dispense.suppliedItem"/>
<text value="Medication, Substance, or Device supplied"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.suppliedItem._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="Supply.dispense.suppliedItem._Medication"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Medication?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.dispense.suppliedItem._Medication.value"/>
<text value="Medication"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
<group>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Reference"/>
</extension>
<linkId value="Supply.dispense.suppliedItem._Substance"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Substance?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.dispense.suppliedItem._Substance.value"/>
<text value="Substance"/>
<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="Supply.dispense.suppliedItem._Device"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Device?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.dispense.suppliedItem._Device.value"/>
<text value="Device"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
</question>
</group>
<group>
<extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
<valueString value="The individual responsible for dispensing the medication, supplier or device."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Reference"/>
</extension>
<linkId value="Supply.dispense.supplier"/>
<required value="false"/>
<repeats value="true"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Practitioner?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.dispense.supplier.value"/>
<text value="Dispenser"/>
<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 the dispense event occurred."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Period"/>
</extension>
<linkId value="Supply.dispense.whenPrepared"/>
<text value="Dispensing time"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.whenPrepared.low"/>
<text value="start:"/>
<type value="dateTime"/>
<required value="false"/>
<repeats value="false"/>
</question>
<question>
<linkId value="Supply.dispense.whenPrepared.end"/>
<text value="end:"/>
<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 the dispensed item was sent or handed to the patient (or agent)."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="datetime"/>
</extension>
<linkId value="Supply.dispense.whenHandedOver"/>
<required value="false"/>
<repeats value="true"/>
<question>
<linkId value="Supply.dispense.whenHandedOver.value"/>
<text value="Handover time"/>
<type value="dateTime"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
<group>
<extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
<valueString value="Identification of the facility/location where the Supply was shipped to, as part of the dispense event."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Reference"/>
</extension>
<linkId value="Supply.dispense.destination"/>
<required value="false"/>
<repeats value="true"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Location?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.dispense.destination.value"/>
<text value="Where the Supply was sent"/>
<type value="reference"/>
<required value="false"/>
<repeats value="false"/>
</question>
</group>
<group>
<extension url="http://hl7.org/fhir/Profile/questionnaire-extensions#flyover">
<valueString value="Identifies the person who picked up the Supply."/>
</extension>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#type">
<valueString value="Reference"/>
</extension>
<linkId value="Supply.dispense.receiver"/>
<required value="false"/>
<repeats value="true"/>
<question>
<extension url="http://www.healthintersections.com.au/fhir/Profile/metadata#reference">
<valueString value="/Practitioner?subject=$subj&patient=$subj&encounter=$encounter"/>
</extension>
<linkId value="Supply.dispense.receiver.value"/>
<text value="Who collected the Supply"/>
<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.
© HL7.org 2011+. FHIR DSTU (v0.4.0-4167) generated on Mon, Feb 23, 2015 09:24+1100.
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