eMediplan CHMED16AF Implementation Guide:

QuestionnaireResponsePolyMedicationCheck

Formats: XML, JSON, Turtle

Summary

The official URL for this profile is:

http://chmed16af.emediplan.ch/fhir/StructureDefinition/chmed16af-pmc-questionnaireresponse

Profile for the QuestionnaireResponse Resource of the Poly Medication Check.

This profile builds on QuestionnaireResponse.

This profile was published on Fri Oct 19 14:36:01 CEST 2018 as a draft by IG eMediplan.

Summary

Mandatory: 1 element (1 nested mandatory element)
Fixed Value: 2 elements

Yet to be done: xref

Differential

NameFlagsCard.TypeDescription & Constraintsdoco
.. reference 1..1stringFixed Value: http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire

doco Documentation for this format

Snapshot

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse I0..*A structured set of questions and their answers
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierUnique id for this set of answers
... basedOn Σ0..*Reference(ReferralRequest | CarePlan | ProcedureRequest)Request fulfilled by this QuestionnaireResponse
... parent Σ0..*Reference(Observation | Procedure)Part of this action
... questionnaire Σ0..1Reference(Questionnaire)Form being answered
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
Fixed Value: http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... status ?!Σ1..1codein-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required)
Fixed Value: completed
... subject Σ0..1Reference(Resource)The subject of the questions
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or Episode during which questionnaire was completed
... authored Σ0..1dateTimeDate the answers were gathered
... author Σ0..1Reference(Device | Practitioner | Patient | RelatedPerson)Person who received and recorded the answers
... source Σ0..1Reference(Patient | Practitioner | RelatedPerson)The person who answered the questions
... item I0..*BackboneElementGroups and questions
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... linkId 1..1stringPointer to specific item from Questionnaire
.... definition 0..1uriElementDefinition - details for the item
.... text 0..1stringName for group or question text
.... subject 0..1Reference(Resource)The subject this group's answers are about
.... answer I0..*BackboneElementThe response(s) to the question
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... value[x] 0..1boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)Single-valued answer to the question
Binding: Questionnaire Answer Codes (example)
..... item 0..*Unknown reference to #QuestionnaireResponse.item
Nested groups and questions
.... item 0..*Unknown reference to #QuestionnaireResponse.item
Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Terminology Bindings

PathNameConformanceValueSet
QuestionnaireResponse.languageCommon LanguagesextensibleCommon Languages
QuestionnaireResponse.statusQuestionnaireResponseStatusrequiredQuestionnaireResponseStatus
QuestionnaireResponse.item.answer.value[x]Questionnaire Answer CodesexampleQuestionnaire Answer Codes

Invariants

Constraints

IdPathDetailsRequirements
dom-2QuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1QuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4QuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3QuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1QuestionnaireResponse.itemAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
qrs-1QuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
ele-1QuestionnaireResponse.item.answerAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())

Definitions

QuestionnaireResponse
Definition

A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.

Control0..*
Alternate NamesForm, QuestionnaireAnswers
Comments

The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.

InvariantsDefined on this element
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
QuestionnaireResponse.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

QuestionnaireResponse.meta
Definition

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.

Control0..1
TypeMeta
QuestionnaireResponse.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

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.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

QuestionnaireResponse.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Typecode
Comments

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).

QuestionnaireResponse.text
Definition

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.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

QuestionnaireResponse.contained
Definition

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.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

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.

QuestionnaireResponse.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.identifier
Definition

A business identifier assigned to a particular completed (or partially completed) questionnaire.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Requirements

Used for tracking, registration and other business purposes.

QuestionnaireResponse.basedOn
Definition

The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ProcedureRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.

Control0..*
TypeReference(ReferralRequest | CarePlan | ProcedureRequest)
Requirements

Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.

Alternate Namesorder
QuestionnaireResponse.parent
Definition

A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.

Control0..*
TypeReference(Observation | Procedure)
Comments

Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn.

QuestionnaireResponse.questionnaire
Definition

The Questionnaire that defines and organizes the questions for which answers are being provided.

Control0..1
TypeReference(Questionnaire)
Requirements

Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.

Alternate NamesForm
Comments

If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).

QuestionnaireResponse.questionnaire.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
QuestionnaireResponse.questionnaire.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.questionnaire.reference
Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Control1..1 This element is affected by the following invariants: ref-1
Typestring
Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Fixed Valuehttp://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire
QuestionnaireResponse.questionnaire.identifier
Definition

An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

QuestionnaireResponse.questionnaire.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control0..1
Typestring
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

QuestionnaireResponse.status
Definition

The position of the questionnaire response within its overall lifecycle.

Control1..1
BindingLifecycle status of the questionnaire response.
The codes SHALL be taken from QuestionnaireResponseStatus
Typecode
Is Modifiertrue
Requirements

The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Fixed Valuecompleted
QuestionnaireResponse.subject
Definition

The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information.

Control0..1
TypeReference(Resource)
Requirements

Allows linking the answers to the individual the answers describe. May also affect access control.

Alternate NamesPatient, Focus
Comments

If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.

QuestionnaireResponse.context
Definition

The encounter or episode of care with primary association to the questionnaire response.

Control0..1
TypeReference(Encounter | EpisodeOfCare)
Requirements

Provides context for the information that was captured. May also affect access control.

Comments

A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.

QuestionnaireResponse.authored
Definition

The date and/or time that this set of answers were last changed.

Control0..1
TypedateTime
Requirements

Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.

Alternate NamesDate Created, Date published, Date Issued, Date updated
Comments

May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.

QuestionnaireResponse.author
Definition

Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.

Control0..1
TypeReference(Device | Practitioner | Patient | RelatedPerson)
Requirements

Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.

Alternate NamesLaboratory, Service, Practitioner, Department, Company, Performer
Comments

Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated.

QuestionnaireResponse.source
Definition

The person who answered the questions about the subject.

Control0..1
TypeReference(Patient | Practitioner | RelatedPerson)
Requirements

When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.

Comments

If not specified, no inference can be made about who provided the data.

QuestionnaireResponse.item
Definition

A group or question item from the original questionnaire for which answers are provided.

Control0..*
TypeBackboneElement
Comments

Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
qrs-1: Nested item can't be beneath both item and answer (: (answer.exists() and item.exists()).not())
QuestionnaireResponse.item.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
QuestionnaireResponse.item.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.item.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.item.linkId
Definition

The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

Control1..1
Typestring
Requirements

Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.

QuestionnaireResponse.item.definition
Definition

A reference to an ElementDefinition that provides the details for the item.

Control0..1
Typeuri
Requirements

A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

Comments

The ElementDefinition must be in a StructureDefinition or a DataElement, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

There is no need for this element if the item pointed to by the linkId has a definition listed.

QuestionnaireResponse.item.text
Definition

Text that is displayed above the contents of the group or as the text of the question being answered.

Control0..1
Typestring
Requirements

Allows the questionnaire response to be read without access to the questionnaire.

QuestionnaireResponse.item.subject
Definition

More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.

Control0..1
TypeReference(Resource)
Requirements

Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.

QuestionnaireResponse.item.answer
Definition

The respondent's answer(s) to the question.

Control0..*
TypeBackboneElement
Comments

The value is nested because we cannot have a repeating structure that has variable type.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
QuestionnaireResponse.item.answer.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
QuestionnaireResponse.item.answer.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.item.answer.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

QuestionnaireResponse.item.answer.value[x]
Definition

The answer (or one of the answers) provided by the respondent to the question.

Control0..1
BindingCode indicating the response provided for a question.
For example codes, see Questionnaire Answer Codes
TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Ability to retain a single-valued answer to a question.

Comments

More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions.

QuestionnaireResponse.item.answer.item
Definition

Nested groups and/or questions found within this particular answer.

Control0..*
TypeSee QuestionnaireResponse.item
Requirements

It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

QuestionnaireResponse.item.item
Definition

Questions or sub-groups nested beneath a question or group.

Control0..*
TypeSee QuestionnaireResponse.item
Requirements

Reports can consist of complex nested groups.

Mappings

Mappings for Mapping to CHMED16A (http://emediplan.ch/chmed16a)

QuestionnaireResponsePolyMedicationCheck

Mappings for RIM Mapping (http://hl7.org/v3)

QuestionnaireResponsePolyMedicationCheck
QuestionnaireResponseEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   basedOn.outboundRelationship[typeCode=FLFS].target
   parent.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   questionnaire./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
      idn/a
      extensionn/a
      referenceN/A
      identifier.identifier
      displayN/A
   status.statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
   subject.participation[typeCode=SBJ].role
   context.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
   authored.participation[typeCode=AUT].time
   author.participation[typeCode=AUT].role
   source.participation[typeCode=INF].role
   item.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      linkId.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
      definition.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
      text.text
      subject.participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target
      answer.value[type=LIST_ANY]
         idn/a
         extensionn/a
         modifierExtensionN/A
         value[x].item
         item.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
      item.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

QuestionnaireResponsePolyMedicationCheck
QuestionnaireResponseinfrastructure.information
   identifierid
   statusstatus
   subjectwho.focus
   contextcontext
   authoredwhen.recorded
   authorwho.author
   sourcewho.source


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="chmed16af-pmc-questionnaireresponse"/>
  <meta>
    <lastUpdated value="2017-05-26T13:32:39.082+02:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span title="null">reference</span><a name="QuestionnaireResponse.questionnaire.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://chmed16af.emediplan.ch/fhir/StructureDefinition/chmed16af-pmc-questionnaireresponse"/>
  <version value="1.0.0"/>
  <name value="QuestionnaireResponsePolyMedicationCheck"/>
  <title value="QuestionnaireResponse PolyMedicationCheck"/>
  <status value="draft"/>
  <date value="2018-10-19T14:36:01+02:00"/>
  <publisher value="IG eMediplan"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.emediplan.ch"/>
    </telecom>
  </contact>
  <description
               value="Profile for the QuestionnaireResponse Resource of the Poly Medication Check."/>
  <fhirVersion value="3.0.1"/>
  <mapping>
    <identity value="CHMED16A"/>
    <uri value="http://emediplan.ch/chmed16a"/>
    <name value="Mapping to CHMED16A"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="QuestionnaireResponse"/>
  <baseDefinition
                  value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="QuestionnaireResponse">
      <path value="QuestionnaireResponse"/>
      <short value="A structured set of questions and their answers"/>
      <definition
                  value="A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to."/>
      <comment
               value="The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on.  I.e. You don&#39;t need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse."/>
      <alias value="Form"/>
      <alias value="QuestionnaireAnswers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where((&#39;#&#39;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="infrastructure.information"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.id">
      <path value="QuestionnaireResponse.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment
               value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="QuestionnaireResponse.meta">
      <path value="QuestionnaireResponse.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="QuestionnaireResponse.implicitRules">
      <path value="QuestionnaireResponse.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  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."/>
      <comment
               value="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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="QuestionnaireResponse.language">
      <path value="QuestionnaireResponse.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment
               value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="QuestionnaireResponse.text">
      <path value="QuestionnaireResponse.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  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."/>
      <comment
               value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.contained">
      <path value="QuestionnaireResponse.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  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."/>
      <comment
               value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.extension">
      <path value="QuestionnaireResponse.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.modifierExtension">
      <path value="QuestionnaireResponse.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.identifier">
      <path value="QuestionnaireResponse.identifier"/>
      <short value="Unique id for this set of answers"/>
      <definition
                  value="A business identifier assigned to a particular completed (or partially completed) questionnaire."/>
      <requirements
                    value="Used for tracking, registration and other business purposes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.basedOn">
      <path value="QuestionnaireResponse.basedOn"/>
      <short value="Request fulfilled by this QuestionnaireResponse"/>
      <definition
                  value="The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.  For example, a ProcedureRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression."/>
      <requirements
                    value="Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon."/>
      <alias value="order"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse.basedOn"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=FLFS].target"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.parent">
      <path value="QuestionnaireResponse.parent"/>
      <short value="Part of this action"/>
      <definition
                  value="A procedure or observation that this questionnaire was performed as part of the execution of.  For example, the surgery a checklist was executed as part of."/>
      <comment
               value="Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse.parent"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.questionnaire">
      <path value="QuestionnaireResponse.questionnaire"/>
      <short value="Form being answered"/>
      <definition
                  value="The Questionnaire that defines and organizes the questions for which answers are being provided."/>
      <comment
               value="If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.)."/>
      <requirements
                    value="Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form."/>
      <alias value="Form"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.questionnaire"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.questionnaire.id">
      <path value="QuestionnaireResponse.questionnaire.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.questionnaire.extension">
      <path value="QuestionnaireResponse.questionnaire.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.questionnaire.reference">
      <path value="QuestionnaireResponse.questionnaire.reference"/>
      <short value="Literal reference, Relative, internal or absolute URL"/>
      <definition
                  value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with &#39;#&#39;) refer to contained resources."/>
      <comment
               value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Reference.reference"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <fixedString
                   value="http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire"/>
      <condition value="ref-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.questionnaire.identifier">
      <path value="QuestionnaireResponse.questionnaire.identifier"/>
      <short value="Logical reference, when literal reference is not known"/>
      <definition
                  value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
      <comment
               value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".identifier"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.questionnaire.display">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/>
      </extension>
      <path value="QuestionnaireResponse.questionnaire.display"/>
      <short value="Text alternative for the resource"/>
      <definition
                  value="Plain text narrative that identifies the resource in addition to the resource reference."/>
      <comment
               value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what&#39;s being referenced, not to fully describe it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Reference.display"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.status">
      <path value="QuestionnaireResponse.status"/>
      <short
             value="in-progress | completed | amended | entered-in-error | stopped"/>
      <definition
                  value="The position of the questionnaire response within its overall lifecycle."/>
      <comment
               value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
      <requirements
                    value="The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="completed"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="QuestionnaireResponseStatus"/>
        </extension>
        <strength value="required"/>
        <description value="Lifecycle status of the questionnaire response."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".statusCode (also whether there&#39;s a revisionControlAct - and possibly mood to distinguish &quot;in-progress&quot; from &quot;published)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.subject">
      <path value="QuestionnaireResponse.subject"/>
      <short value="The subject of the questions"/>
      <definition
                  value="The subject of the questionnaire response.  This could be a patient, organization, practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily the source of information."/>
      <comment
               value="If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types."/>
      <requirements
                    value="Allows linking the answers to the individual the answers describe.  May also affect access control."/>
      <alias value="Patient"/>
      <alias value="Focus"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.context">
      <path value="QuestionnaireResponse.context"/>
      <short
             value="Encounter or Episode during which questionnaire was completed"/>
      <definition
                  value="The encounter or episode of care with primary association to the questionnaire response."/>
      <comment
               value="A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter."/>
      <requirements
                    value="Provides context for the information that was captured.  May also affect access control."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.context"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.authored">
      <path value="QuestionnaireResponse.authored"/>
      <short value="Date the answers were gathered"/>
      <definition
                  value="The date and/or time that this set of answers were last changed."/>
      <comment
               value="May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible."/>
      <requirements
                    value="Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers."/>
      <alias value="Date Created"/>
      <alias value="Date published"/>
      <alias value="Date Issued"/>
      <alias value="Date updated"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.authored"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.author">
      <path value="QuestionnaireResponse.author"/>
      <short value="Person who received and recorded the answers"/>
      <definition
                  value="Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system."/>
      <comment
               value="Mapping a subject&#39;s answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated."/>
      <requirements
                    value="Need to know who interpreted the subject&#39;s answers to the questions in the questionnaire, and selected the appropriate options for answers."/>
      <alias value="Laboratory"/>
      <alias value="Service"/>
      <alias value="Practitioner"/>
      <alias value="Department"/>
      <alias value="Company"/>
      <alias value="Performer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.author"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.source">
      <path value="QuestionnaireResponse.source"/>
      <short value="The person who answered the questions"/>
      <definition
                  value="The person who answered the questions about the subject."/>
      <comment
               value="If not specified, no inference can be made about who provided the data."/>
      <requirements
                    value="When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.source"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item">
      <path value="QuestionnaireResponse.item"/>
      <short value="Groups and questions"/>
      <definition
                  value="A group or question item from the original questionnaire for which answers are provided."/>
      <comment
               value="Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse.item"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <constraint>
        <key value="qrs-1"/>
        <severity value="error"/>
        <human value="Nested item can&#39;t be beneath both item and answer"/>
        <expression value="(answer.exists() and item.exists()).not()"/>
        <xpath value="not(exists(f:answer) and exists(f:item))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.id">
      <path value="QuestionnaireResponse.item.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.extension">
      <path value="QuestionnaireResponse.item.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.modifierExtension">
      <path value="QuestionnaireResponse.item.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.linkId">
      <path value="QuestionnaireResponse.item.linkId"/>
      <short value="Pointer to specific item from Questionnaire"/>
      <definition
                  value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/>
      <requirements
                    value="Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.item.linkId"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.definition">
      <path value="QuestionnaireResponse.item.definition"/>
      <short value="ElementDefinition - details for the item"/>
      <definition
                  value="A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item."/>
      <comment
               value="The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

There is no need for this element if the item pointed to by the linkId has a definition listed."/>
      <requirements
                    value="A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.item.definition"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.text">
      <path value="QuestionnaireResponse.item.text"/>
      <short value="Name for group or question text"/>
      <definition
                  value="Text that is displayed above the contents of the group or as the text of the question being answered."/>
      <requirements
                    value="Allows the questionnaire response to be read without access to the questionnaire."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.item.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.subject">
      <path value="QuestionnaireResponse.item.subject"/>
      <short value="The subject this group&#39;s answers are about"/>
      <definition
                  value="More specific subject this section&#39;s answers are about, details the subject given in QuestionnaireResponse."/>
      <requirements
                    value="Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient&#39;s care or record, e.g. a specific Problem, RelatedPerson, Allergy etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.item.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.answer">
      <path value="QuestionnaireResponse.item.answer"/>
      <short value="The response(s) to the question"/>
      <definition value="The respondent&#39;s answer(s) to the question."/>
      <comment
               value="The value is nested because we cannot have a repeating structure that has variable type."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse.item.answer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".value[type=LIST_ANY]"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.answer.id">
      <path value="QuestionnaireResponse.item.answer.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.answer.extension">
      <path value="QuestionnaireResponse.item.answer.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.answer.modifierExtension">
      <path value="QuestionnaireResponse.item.answer.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.answer.value[x]">
      <path value="QuestionnaireResponse.item.answer.value[x]"/>
      <short value="Single-valued answer to the question"/>
      <definition
                  value="The answer (or one of the answers) provided by the respondent to the question."/>
      <comment
               value="More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions."/>
      <requirements
                    value="Ability to retain a single-valued answer to a question."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="QuestionnaireResponse.item.answer.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="decimal"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="time"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="uri"/>
      </type>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Quantity"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="QuestionnaireAnswer"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Code indicating the response provided for a question."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".item"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.answer.item">
      <path value="QuestionnaireResponse.item.answer.item"/>
      <short value="Nested groups and questions"/>
      <definition
                  value="Nested groups and/or questions found within this particular answer."/>
      <requirements
                    value="It is useful to have &quot;sub-questions&quot;, questions which normally appear when certain answers are given and which collect additional details."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse.item.answer.item"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference value="#QuestionnaireResponse.item"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="QuestionnaireResponse.item.item">
      <path value="QuestionnaireResponse.item.item"/>
      <short value="Nested questionnaire response items"/>
      <definition
                  value="Questions or sub-groups nested beneath a question or group."/>
      <requirements value="Reports can consist of complex nested groups."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="QuestionnaireResponse.item.item"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference value="#QuestionnaireResponse.item"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="QuestionnaireResponse.questionnaire.reference">
      <path value="QuestionnaireResponse.questionnaire.reference"/>
      <min value="1"/>
      <fixedString
                   value="http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire"/>
    </element>
    <element id="QuestionnaireResponse.status">
      <path value="QuestionnaireResponse.status"/>
      <min value="1"/>
      <fixedCode value="completed"/>
    </element>
  </differential>
</StructureDefinition>
{
  "resourceType" : "StructureDefinition",
  "id" : "chmed16af-pmc-questionnaireresponse",
  "meta" : {
    "lastUpdated" : "2017-05-26T13:32:39.082+02:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span title="null">reference</span><a name="QuestionnaireResponse.questionnaire.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://chmed16af.emediplan.ch/fhir/StructureDefinition/chmed16af-pmc-questionnaireresponse",
  "version" : "1.0.0",
  "name" : "QuestionnaireResponsePolyMedicationCheck",
  "title" : "QuestionnaireResponse PolyMedicationCheck",
  "status" : "draft",
  "date" : "2018-10-19T14:36:01+02:00",
  "publisher" : "IG eMediplan",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.emediplan.ch"
        }
      ]
    }
  ],
  "description" : "Profile for the QuestionnaireResponse Resource of the Poly Medication Check.",
  "fhirVersion" : "3.0.1",
  "mapping" : [
    {
      "identity" : "CHMED16A",
      "uri" : "http://emediplan.ch/chmed16a",
      "name" : "Mapping to CHMED16A"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/w5",
      "name" : "W5 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "QuestionnaireResponse",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "QuestionnaireResponse",
        "path" : "QuestionnaireResponse",
        "short" : "A structured set of questions and their answers",
        "definition" : "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.",
        "comment" : "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on.  I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.",
        "alias" : [
          "Form",
          "QuestionnaireAnswers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-1",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
            "expression" : "contained.text.empty()",
            "xpath" : "not(parent::f:contained and f:text)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
            "expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
            "xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
            "source" : "DomainResource"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Observation[moodCode=EVN]"
          },
          {
            "identity" : "w5",
            "map" : "infrastructure.information"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.id",
        "path" : "QuestionnaireResponse.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "QuestionnaireResponse.meta",
        "path" : "QuestionnaireResponse.meta",
        "short" : "Metadata about the resource",
        "definition" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "QuestionnaireResponse.implicitRules",
        "path" : "QuestionnaireResponse.implicitRules",
        "short" : "A set of rules under which this content was created",
        "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
        "comment" : "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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "isModifier" : true,
        "isSummary" : true
      },
      {
        "id" : "QuestionnaireResponse.language",
        "path" : "QuestionnaireResponse.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "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).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference" : {
                "reference" : "http://hl7.org/fhir/ValueSet/all-languages"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A human language.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/languages"
          }
        }
      },
      {
        "id" : "QuestionnaireResponse.text",
        "path" : "QuestionnaireResponse.text",
        "short" : "Text summary of the resource, for human interpretation",
        "definition" : "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.",
        "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "dom-1"
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.contained",
        "path" : "QuestionnaireResponse.contained",
        "short" : "Contained, inline Resources",
        "definition" : "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.",
        "comment" : "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.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.extension",
        "path" : "QuestionnaireResponse.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.modifierExtension",
        "path" : "QuestionnaireResponse.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.identifier",
        "path" : "QuestionnaireResponse.identifier",
        "short" : "Unique id for this set of answers",
        "definition" : "A business identifier assigned to a particular completed (or partially completed) questionnaire.",
        "requirements" : "Used for tracking, registration and other business purposes.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.identifier",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "w5",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.basedOn",
        "path" : "QuestionnaireResponse.basedOn",
        "short" : "Request fulfilled by this QuestionnaireResponse",
        "definition" : "The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.  For example, a ProcedureRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.",
        "requirements" : "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.",
        "alias" : [
          "order"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse.basedOn",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.parent",
        "path" : "QuestionnaireResponse.parent",
        "short" : "Part of this action",
        "definition" : "A procedure or observation that this questionnaire was performed as part of the execution of.  For example, the surgery a checklist was executed as part of.",
        "comment" : "Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse.parent",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Observation"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Procedure"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.questionnaire",
        "path" : "QuestionnaireResponse.questionnaire",
        "short" : "Form being answered",
        "definition" : "The Questionnaire that defines and organizes the questions for which answers are being provided.",
        "comment" : "If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).",
        "requirements" : "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.",
        "alias" : [
          "Form"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.questionnaire",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.questionnaire.id",
        "path" : "QuestionnaireResponse.questionnaire.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.questionnaire.extension",
        "path" : "QuestionnaireResponse.questionnaire.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.questionnaire.reference",
        "path" : "QuestionnaireResponse.questionnaire.reference",
        "short" : "Literal reference, Relative, internal or absolute URL",
        "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Reference.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "fixedString" : "http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire",
        "condition" : [
          "ref-1"
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.questionnaire.identifier",
        "path" : "QuestionnaireResponse.questionnaire.identifier",
        "short" : "Logical reference, when literal reference is not known",
        "definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.identifier",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".identifier"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.questionnaire.display",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "QuestionnaireResponse.questionnaire.display",
        "short" : "Text alternative for the resource",
        "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment" : "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.display",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.status",
        "path" : "QuestionnaireResponse.status",
        "short" : "in-progress | completed | amended | entered-in-error | stopped",
        "definition" : "The position of the questionnaire response within its overall lifecycle.",
        "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "requirements" : "The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "fixedCode" : "completed",
        "isModifier" : true,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireResponseStatus"
            }
          ],
          "strength" : "required",
          "description" : "Lifecycle status of the questionnaire response.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/questionnaire-answers-status"
          }
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)"
          },
          {
            "identity" : "w5",
            "map" : "status"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.subject",
        "path" : "QuestionnaireResponse.subject",
        "short" : "The subject of the questions",
        "definition" : "The subject of the questionnaire response.  This could be a patient, organization, practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily the source of information.",
        "comment" : "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.",
        "requirements" : "Allows linking the answers to the individual the answers describe.  May also affect access control.",
        "alias" : [
          "Patient",
          "Focus"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "who.focus"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.context",
        "path" : "QuestionnaireResponse.context",
        "short" : "Encounter or Episode during which questionnaire was completed",
        "definition" : "The encounter or episode of care with primary association to the questionnaire response.",
        "comment" : "A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.",
        "requirements" : "Provides context for the information that was captured.  May also affect access control.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.context",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Encounter"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity" : "w5",
            "map" : "context"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.authored",
        "path" : "QuestionnaireResponse.authored",
        "short" : "Date the answers were gathered",
        "definition" : "The date and/or time that this set of answers were last changed.",
        "comment" : "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible.",
        "requirements" : "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.",
        "alias" : [
          "Date Created",
          "Date published",
          "Date Issued",
          "Date updated"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.authored",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "w5",
            "map" : "when.recorded"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.author",
        "path" : "QuestionnaireResponse.author",
        "short" : "Person who received and recorded the answers",
        "definition" : "Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.",
        "comment" : "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated.",
        "requirements" : "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.",
        "alias" : [
          "Laboratory",
          "Service",
          "Practitioner",
          "Department",
          "Company",
          "Performer"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.author",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "w5",
            "map" : "who.author"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.source",
        "path" : "QuestionnaireResponse.source",
        "short" : "The person who answered the questions",
        "definition" : "The person who answered the questions about the subject.",
        "comment" : "If not specified, no inference can be made about who provided the data.",
        "requirements" : "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.source",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          },
          {
            "identity" : "w5",
            "map" : "who.source"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item",
        "path" : "QuestionnaireResponse.item",
        "short" : "Groups and questions",
        "definition" : "A group or question item from the original questionnaire for which answers are provided.",
        "comment" : "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() | (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "qrs-1",
            "severity" : "error",
            "human" : "Nested item can't be beneath both item and answer",
            "expression" : "(answer.exists() and item.exists()).not()",
            "xpath" : "not(exists(f:answer) and exists(f:item))"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.id",
        "path" : "QuestionnaireResponse.item.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.extension",
        "path" : "QuestionnaireResponse.item.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.modifierExtension",
        "path" : "QuestionnaireResponse.item.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.linkId",
        "path" : "QuestionnaireResponse.item.linkId",
        "short" : "Pointer to specific item from Questionnaire",
        "definition" : "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements" : "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.definition",
        "path" : "QuestionnaireResponse.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.",
        "comment" : "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

There is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements" : "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.item.definition",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.text",
        "path" : "QuestionnaireResponse.item.text",
        "short" : "Name for group or question text",
        "definition" : "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements" : "Allows the questionnaire response to be read without access to the questionnaire.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".text"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.subject",
        "path" : "QuestionnaireResponse.item.subject",
        "short" : "The subject this group's answers are about",
        "definition" : "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.",
        "requirements" : "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.item.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.answer",
        "path" : "QuestionnaireResponse.item.answer",
        "short" : "The response(s) to the question",
        "definition" : "The respondent's answer(s) to the question.",
        "comment" : "The value is nested because we cannot have a repeating structure that has variable type.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse.item.answer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() | (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.answer.id",
        "path" : "QuestionnaireResponse.item.answer.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.answer.extension",
        "path" : "QuestionnaireResponse.item.answer.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.answer.modifierExtension",
        "path" : "QuestionnaireResponse.item.answer.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.answer.value[x]",
        "path" : "QuestionnaireResponse.item.answer.value[x]",
        "short" : "Single-valued answer to the question",
        "definition" : "The answer (or one of the answers) provided by the respondent to the question.",
        "comment" : "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions.",
        "requirements" : "Ability to retain a single-valued answer to a question.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "QuestionnaireResponse.item.answer.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireAnswer"
            }
          ],
          "strength" : "example",
          "description" : "Code indicating the response provided for a question.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          }
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".item"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.answer.item",
        "path" : "QuestionnaireResponse.item.answer.item",
        "short" : "Nested groups and questions",
        "definition" : "Nested groups and/or questions found within this particular answer.",
        "requirements" : "It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse.item.answer.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "#QuestionnaireResponse.item",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "QuestionnaireResponse.item.item",
        "path" : "QuestionnaireResponse.item.item",
        "short" : "Nested questionnaire response items",
        "definition" : "Questions or sub-groups nested beneath a question or group.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "QuestionnaireResponse.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "#QuestionnaireResponse.item",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "QuestionnaireResponse.questionnaire.reference",
        "path" : "QuestionnaireResponse.questionnaire.reference",
        "min" : 1,
        "fixedString" : "http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire"
      },
      {
        "id" : "QuestionnaireResponse.status",
        "path" : "QuestionnaireResponse.status",
        "min" : 1,
        "fixedCode" : "completed"
      }
    ]
  }
}
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "chmed16af-pmc-questionnaireresponse"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2017-05-26T13:32:39.082+02:00"^^xsd:dateTime ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span title=\"null\">reference</span><a name=\"QuestionnaireResponse.questionnaire.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ];
  fhir:StructureDefinition.url [ fhir:value "http://chmed16af.emediplan.ch/fhir/StructureDefinition/chmed16af-pmc-questionnaireresponse"];
  fhir:StructureDefinition.version [ fhir:value "1.0.0"];
  fhir:StructureDefinition.name [ fhir:value "QuestionnaireResponsePolyMedicationCheck"];
  fhir:StructureDefinition.title [ fhir:value "QuestionnaireResponse PolyMedicationCheck"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.date [ fhir:value "2018-10-19T14:36:01+02:00"^^xsd:dateTime];
  fhir:StructureDefinition.publisher [ fhir:value "IG eMediplan"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.emediplan.ch" ]     ]
  ];
  fhir:StructureDefinition.description [ fhir:value "Profile for the QuestionnaireResponse Resource of the Poly Medication Check."];
  fhir:StructureDefinition.fhirVersion [ fhir:value "3.0.1"];
  fhir:StructureDefinition.mapping [
     fhir:index 0;
     fhir:StructureDefinition.mapping.identity [ fhir:value "CHMED16A" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://emediplan.ch/chmed16a" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "Mapping to CHMED16A" ]
  ], [
     fhir:index 1;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
  ], [
     fhir:index 2;
     fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/w5" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "W5 Mapping" ]
  ];
  fhir:StructureDefinition.kind [ fhir:value "resource"];
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
  fhir:StructureDefinition.type [ fhir:value "QuestionnaireResponse"];
  fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"];
  fhir:StructureDefinition.derivation [ fhir:value "constraint"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "QuestionnaireResponse" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse" ];
       fhir:ElementDefinition.short [ fhir:value "A structured set of questions and their answers" ];
       fhir:ElementDefinition.definition [ fhir:value "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to." ];
       fhir:ElementDefinition.comment [ fhir:value "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on.  I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse." ];
       fhir:ElementDefinition.alias [
         fhir:value "Form";
         fhir:index 0       ], [
         fhir:value "QuestionnaireAnswers";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain any narrative" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.text.empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:text)" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Observation[moodCode=EVN]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "infrastructure.information" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.id" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.id" ];
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
       fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.meta" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.meta" ];
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.implicitRules" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.implicitRules" ];
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comment [ fhir:value "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.language" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
       fhir:ElementDefinition.comment [ fhir:value "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)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.valueReference [
             fhir:link <http://hl7.org/fhir/ValueSet/all-languages>;
             fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ]           ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "Language" ]         ], [
           fhir:index 2;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/languages>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ]         ]       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.text" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later." ];
       fhir:ElementDefinition.alias [
         fhir:value "narrative";
         fhir:index 0       ], [
         fhir:value "html";
         fhir:index 1       ], [
         fhir:value "xhtml";
         fhir:index 2       ], [
         fhir:value "display";
         fhir:index 3       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
       fhir:ElementDefinition.condition [
         fhir:value "dom-1";
         fhir:index 0       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.contained" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.contained" ];
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comment [ fhir:value "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." ];
       fhir:ElementDefinition.alias [
         fhir:value "inline resources";
         fhir:index 0       ], [
         fhir:value "anonymous resources";
         fhir:index 1       ], [
         fhir:value "contained resources";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Resource" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.extension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for this set of answers" ];
       fhir:ElementDefinition.definition [ fhir:value "A business identifier assigned to a particular completed (or partially completed) questionnaire." ];
       fhir:ElementDefinition.requirements [ fhir:value "Used for tracking, registration and other business purposes." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.identifier" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".id" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "id" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.basedOn" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.basedOn" ];
       fhir:ElementDefinition.short [ fhir:value "Request fulfilled by this QuestionnaireResponse" ];
       fhir:ElementDefinition.definition [ fhir:value "The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.  For example, a ProcedureRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression." ];
       fhir:ElementDefinition.requirements [ fhir:value "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon." ];
       fhir:ElementDefinition.alias [
         fhir:value "order";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.basedOn" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ReferralRequest" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/CarePlan" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=FLFS].target" ]       ]     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.parent" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.parent" ];
       fhir:ElementDefinition.short [ fhir:value "Part of this action" ];
       fhir:ElementDefinition.definition [ fhir:value "A procedure or observation that this questionnaire was performed as part of the execution of.  For example, the surgery a checklist was executed as part of." ];
       fhir:ElementDefinition.comment [ fhir:value "Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.parent" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" ]       ]     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire" ];
       fhir:ElementDefinition.short [ fhir:value "Form being answered" ];
       fhir:ElementDefinition.definition [ fhir:value "The Questionnaire that defines and organizes the questions for which answers are being provided." ];
       fhir:ElementDefinition.comment [ fhir:value "If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form." ];
       fhir:ElementDefinition.alias [
         fhir:value "Form";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.questionnaire" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Questionnaire" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" ]       ]     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire.id" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire.extension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire.reference" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire.reference" ];
       fhir:ElementDefinition.short [ fhir:value "Literal reference, Relative, internal or absolute URL" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ];
       fhir:ElementDefinition.comment [ fhir:value "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.reference" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.fixedString [ fhir:value "http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire" ];
       fhir:ElementDefinition.condition [
         fhir:value "ref-1";
         fhir:index 0       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Logical reference, when literal reference is not known" ];
       fhir:ElementDefinition.definition [ fhir:value "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ];
       fhir:ElementDefinition.comment [ fhir:value "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.identifier" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".identifier" ]       ]     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire.display" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire.display" ];
       fhir:ElementDefinition.short [ fhir:value "Text alternative for the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "Plain text narrative that identifies the resource in addition to the resource reference." ];
       fhir:ElementDefinition.comment [ fhir:value "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.display" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.status" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.status" ];
       fhir:ElementDefinition.short [ fhir:value "in-progress | completed | amended | entered-in-error | stopped" ];
       fhir:ElementDefinition.definition [ fhir:value "The position of the questionnaire response within its overall lifecycle." ];
       fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ];
       fhir:ElementDefinition.requirements [ fhir:value "The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.status" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "completed" ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "QuestionnaireResponseStatus" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Lifecycle status of the questionnaire response." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/questionnaire-answers-status>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/questionnaire-answers-status" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "status" ]       ]     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.subject" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.subject" ];
       fhir:ElementDefinition.short [ fhir:value "The subject of the questions" ];
       fhir:ElementDefinition.definition [ fhir:value "The subject of the questionnaire response.  This could be a patient, organization, practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily the source of information." ];
       fhir:ElementDefinition.comment [ fhir:value "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types." ];
       fhir:ElementDefinition.requirements [ fhir:value "Allows linking the answers to the individual the answers describe.  May also affect access control." ];
       fhir:ElementDefinition.alias [
         fhir:value "Patient";
         fhir:index 0       ], [
         fhir:value "Focus";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.subject" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=SBJ].role" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.focus" ]       ]     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.context" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.context" ];
       fhir:ElementDefinition.short [ fhir:value "Encounter or Episode during which questionnaire was completed" ];
       fhir:ElementDefinition.definition [ fhir:value "The encounter or episode of care with primary association to the questionnaire response." ];
       fhir:ElementDefinition.comment [ fhir:value "A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter." ];
       fhir:ElementDefinition.requirements [ fhir:value "Provides context for the information that was captured.  May also affect access control." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.context" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "context" ]       ]     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.authored" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.authored" ];
       fhir:ElementDefinition.short [ fhir:value "Date the answers were gathered" ];
       fhir:ElementDefinition.definition [ fhir:value "The date and/or time that this set of answers were last changed." ];
       fhir:ElementDefinition.comment [ fhir:value "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that may not know the value, however it SHOULD be populated if possible." ];
       fhir:ElementDefinition.requirements [ fhir:value "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers." ];
       fhir:ElementDefinition.alias [
         fhir:value "Date Created";
         fhir:index 0       ], [
         fhir:value "Date published";
         fhir:index 1       ], [
         fhir:value "Date Issued";
         fhir:index 2       ], [
         fhir:value "Date updated";
         fhir:index 3       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.authored" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=AUT].time" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "when.recorded" ]       ]     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.author" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.author" ];
       fhir:ElementDefinition.short [ fhir:value "Person who received and recorded the answers" ];
       fhir:ElementDefinition.definition [ fhir:value "Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system." ];
       fhir:ElementDefinition.comment [ fhir:value "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers." ];
       fhir:ElementDefinition.alias [
         fhir:value "Laboratory";
         fhir:index 0       ], [
         fhir:value "Service";
         fhir:index 1       ], [
         fhir:value "Practitioner";
         fhir:index 2       ], [
         fhir:value "Department";
         fhir:index 3       ], [
         fhir:value "Company";
         fhir:index 4       ], [
         fhir:value "Performer";
         fhir:index 5       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.author" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=AUT].role" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.author" ]       ]     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.source" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.source" ];
       fhir:ElementDefinition.short [ fhir:value "The person who answered the questions" ];
       fhir:ElementDefinition.definition [ fhir:value "The person who answered the questions about the subject." ];
       fhir:ElementDefinition.comment [ fhir:value "If not specified, no inference can be made about who provided the data." ];
       fhir:ElementDefinition.requirements [ fhir:value "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.source" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=INF].role" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.source" ]       ]     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item" ];
       fhir:ElementDefinition.short [ fhir:value "Groups and questions" ];
       fhir:ElementDefinition.definition [ fhir:value "A group or question item from the original questionnaire for which answers are provided." ];
       fhir:ElementDefinition.comment [ fhir:value "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Element" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "qrs-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Nested item can't be beneath both item and answer" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "(answer.exists() and item.exists()).not()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:answer) and exists(f:item))" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]       ]     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.id" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.extension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.linkId" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.linkId" ];
       fhir:ElementDefinition.short [ fhir:value "Pointer to specific item from Questionnaire" ];
       fhir:ElementDefinition.definition [ fhir:value "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource." ];
       fhir:ElementDefinition.requirements [ fhir:value "Items can repeat in the answers, so a direct 1..1 correspondence by position may not exist - requiring correspondence by identifier." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.linkId" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]       ]     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.definition" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.definition" ];
       fhir:ElementDefinition.short [ fhir:value "ElementDefinition - details for the item" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item." ];
       fhir:ElementDefinition.comment [ fhir:value "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html) or a [DataElement](dataelement.html), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed." ];
       fhir:ElementDefinition.requirements [ fhir:value "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.definition" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" ]       ]     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.text" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.text" ];
       fhir:ElementDefinition.short [ fhir:value "Name for group or question text" ];
       fhir:ElementDefinition.definition [ fhir:value "Text that is displayed above the contents of the group or as the text of the question being answered." ];
       fhir:ElementDefinition.requirements [ fhir:value "Allows the questionnaire response to be read without access to the questionnaire." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.text" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.subject" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.subject" ];
       fhir:ElementDefinition.short [ fhir:value "The subject this group's answers are about" ];
       fhir:ElementDefinition.definition [ fhir:value "More specific subject this section's answers are about, details the subject given in QuestionnaireResponse." ];
       fhir:ElementDefinition.requirements [ fhir:value "Sometimes a group of answers is about a specific participant, artifact or piece of information in the patient's care or record, e.g. a specific Problem, RelatedPerson, Allergy etc." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.subject" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=SBJ].role or .outboundRelationship[typeCode=SUBJ].target" ]       ]     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.answer" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.answer" ];
       fhir:ElementDefinition.short [ fhir:value "The response(s) to the question" ];
       fhir:ElementDefinition.definition [ fhir:value "The respondent's answer(s) to the question." ];
       fhir:ElementDefinition.comment [ fhir:value "The value is nested because we cannot have a repeating structure that has variable type." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.answer" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".value[type=LIST_ANY]" ]       ]     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.answer.id" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.answer.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.answer.extension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.answer.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.answer.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.answer.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.answer.value[x]" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.answer.value[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Single-valued answer to the question" ];
       fhir:ElementDefinition.definition [ fhir:value "The answer (or one of the answers) provided by the respondent to the question." ];
       fhir:ElementDefinition.comment [ fhir:value "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions." ];
       fhir:ElementDefinition.requirements [ fhir:value "Ability to retain a single-valued answer to a question." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.answer.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "decimal" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "date" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "QuestionnaireAnswer" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Code indicating the response provided for a question." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/questionnaire-answers>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/questionnaire-answers" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".item" ]       ]     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.answer.item" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.answer.item" ];
       fhir:ElementDefinition.short [ fhir:value "Nested groups and questions" ];
       fhir:ElementDefinition.definition [ fhir:value "Nested groups and/or questions found within this particular answer." ];
       fhir:ElementDefinition.requirements [ fhir:value "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.answer.item" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#QuestionnaireResponse.item" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]       ]     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.item.item" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.item.item" ];
       fhir:ElementDefinition.short [ fhir:value "Nested questionnaire response items" ];
       fhir:ElementDefinition.definition [ fhir:value "Questions or sub-groups nested beneath a question or group." ];
       fhir:ElementDefinition.requirements [ fhir:value "Reports can consist of complex nested groups." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "QuestionnaireResponse.item.item" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#QuestionnaireResponse.item" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" ]       ]     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.questionnaire.reference" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.questionnaire.reference" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.fixedString [ fhir:value "http://chmed16af.emediplan.ch/fhir/Questionnaire/chmed16af-pmc-questionnaire" ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "QuestionnaireResponse.status" ];
       fhir:ElementDefinition.path [ fhir:value "QuestionnaireResponse.status" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.fixedCode [ fhir:value "completed" ]     ]
  ].

<http://hl7.org/fhir/ValueSet/all-languages> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/languages> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/questionnaire-answers-status> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/questionnaire-answers> a fhir:ValueSet.

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.