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Source1

{
  "resourceType": "Questionnaire",
  "id": "d7a65ce8-2810-401a-b0db-70782a7b19a6",
  "meta": {
    "lastUpdated": "2020-04-15T10:35:43.5320994+00:00",
    "profile": [
      "http://fhir.de/ConsentManagement/StructureDefinition/TemplateModule"
    ]
  },
  "language": "de",
  "version": "1.6a",
  "name": "PatDatErhebenSpeichernNutzen",
  "title": "Verarbeitung und Nutzung von Patientendaten für die medizinische Forschung",
  "status": "active",
  "description": "Beispiel-Fragen-Modul aus der MI-Initiative",
  "useContext": [
    {
      "code": {
        "system": "http://fhir.de/ConsentManagement/CodeSystem/QuestionnaireComponents",
        "code": "TemplateModule"
      },
      "valueReference": {
        "reference": "ResearchStudy/d7a65ce8-2810-401a-b0db-70782a7b19a6"
      }
    }
  ],
  "purpose": "Einwilligungserklärung für die wissenschaftliche Nutzung",
  "item": [
    {
      "extension": [
        {
          "extension": [
            {
              "url": "expression",
              "valueBase64Binary": "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"
            }
          ],
          "url": "http://fhir.de/ConsentManagement/StructureDefinition/XacmlTemplate"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/designNote",
          "valueMarkdown": "Design Comment des Erstellers"
        }
      ],
      "linkId": "dummy",
      "text": "Ich willige ein in die Erhebung, Verarbeitung, Speicherung und wissenschaftliche Nutzung meiner Patientendaten wie in Punkt 1.1 bis 1.3 der Einwilligungserklärung und Punkt 1. der Patienteninformation beschrieben.",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "Ich willige ein in die <strong>Erhebung, Verarbeitung, Speicherung</strong> und wissenschaftliche Nutzung meiner Patientendaten wie in Punkt 1.1 bis 1.3 der Einwilligungserklärung und Punkt 1. der Patienteninformation beschrieben."
          }
        ]
      },
      "type": "choice"
    }
  ]
}