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Packagehl7.fhir.be.patient-monitoring
Resource TypeStructureDefinition
IdStructureDefinition-onco-fulvestrant-questionnaire.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/hl7-be/patient-monitoring/StructureDefinition-onco-fulvestrant-questionnaire.html
URLhttp://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/onco-fulvestrant-questionnaire
Version0.1.0
Statusdraft
Date2026-05-27T09:31:20+00:00
NameONCOFulvestrantQuestionnaire
TitleONCO Fulvestrant Questionnaire Logical Model
Realmbe
Authorityhl7
DescriptionLogical model representing the nursing assessment questionnaire for home hospitalization patients receiving Fulvestrant. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: simplified contraindications checklist (fever/chills/unwell only), and includes muscle/joint pain in side effects.
Typehttp://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/ONCOFulvestrantQuestionnaire
Kindlogical

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition onco-fulvestrant-questionnaire

NameFlagsCard.TypeDescription & Constraintsdoco
.. ONCOFulvestrantQuestionnaire 0..*BaseONCO Fulvestrant Questionnaire Logical Model
... nursingAssessment 1..1BackboneElementNursing Assessment
.... storage 1..1BackboneElementStorage
..... medicationStorageRemarks 1..1codeAre there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage
..... storageRemarksSpecification 0..1stringSpecify remarks or concerns (conditional: if medicationStorageRemarks = concern)
.... observationParameters 1..1BackboneElementObservation Parameters
..... bodyTemperature 1..1decimalBody temperature (°C) (LOINC 8310-5)
..... pulse 1..1decimalPulse (beats/min) (SNOMED 364075005)
..... bloodPressureSystolic 1..1decimalBlood pressure systolic (mmHg) (LOINC 8480-6)
..... bloodPressureDiastolic 1..1decimalBlood pressure diastolic (mmHg) (LOINC 8462-4)
.... contraindications 1..1BackboneElementContraindications
..... anyContraindication 1..1codeAre there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No
..... feverChillsUnwell 0..1codeFever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)
..... decisionAfterConsultation 0..1codeDecision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other
..... decisionOtherSpecification 0..1stringSpecify if decision = Other (SNOMED 438833006)
.... sideEffects 1..1BackboneElementSide Effects
..... nausea 1..1codeNausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
..... vomiting 1..1codeVomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)
..... reducedAppetiteOrTasteChanges 1..1codeReduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
..... diarrhea 1..1codeDiarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)
..... constipation 1..1codeConstipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
..... fatigue 1..1codeFatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
..... pain 1..1codePain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb activities) | 444457005 Grade 2 (moderate, activities more difficult) | 444447009 Grade 3 (severe, activities hardly possible)
..... skinRash 1..1codeSkin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe/extensive redness or peeling)
..... psychosocialBurden 1..1codePsychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (mild distress) | 444457005 Grade 2 (moderate impact) | 444447009 Grade 3 (severe impact)
..... shortnessOfBreath 1..1codeShortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion affecting daily life) | 444447009 Grade 3 (at rest affecting daily activities)
..... muscleAndJointPain 1..1codeMuscle and joint pain (SNOMED 57676002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb daily life) | 444457005 Grade 2 (moderate, daily activities more difficult) | 444447009 Grade 3 (severe, daily activities hardly possible)
.... otherRelevantObservations 0..1BackboneElementOther Relevant Observations
..... otherObservations 0..1stringOther side effects or relevant clinical and psychosocial observations. Contact hospital for clinical concerns. (SNOMED 365275006)
.... task 1..1BackboneElementTask
..... medicationAdministeredPerProcedure 1..1codeCould the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No
.... qualityFollowUp 0..1BackboneElementQuality Follow-Up
..... remarks 0..1stringRemarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "onco-fulvestrant-questionnaire",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/onco-fulvestrant-questionnaire",
  "identifier": [
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      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.54.42.18"
    }
  ],
  "version": "0.1.0",
  "name": "ONCOFulvestrantQuestionnaire",
  "title": "ONCO Fulvestrant Questionnaire Logical Model",
  "status": "draft",
  "date": "2026-05-27T09:31:20+00:00",
  "publisher": "HL7 Belgium",
  "contact": [
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      "telecom": [
        {
          "system": "url",
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          "system": "email",
          "value": "my-group@example.com"
        }
      ]
    },
    {
      "name": "Bob Smith",
      "telecom": [
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  "description": "Logical model representing the nursing assessment questionnaire for home hospitalization patients receiving Fulvestrant. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: simplified contraindications checklist (fever/chills/unwell only), and includes muscle/joint pain in side effects.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "BE",
          "display": "Belgium"
        }
      ]
    }
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  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": false,
  "type": "http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/ONCOFulvestrantQuestionnaire",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation": "specialization",
  "snapshot": {
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        "min": 0,
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          "min": 1,
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        "isModifier": false,
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        "mapping": [
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            "identity": "rim",
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        ]
      },
      {
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        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.extension",
        "slicing": {
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          "rules": "open"
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        "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": [
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        "min": 0,
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      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
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        ],
        "constraint": [
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          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
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        "isSummary": true,
        "mapping": [
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      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage",
        "short": "Storage",
        "definition": "Storage",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage",
          "min": 1,
          "max": "1"
        },
        "type": [
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        ],
        "constraint": [
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        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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,
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        "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": [
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        "min": 0,
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      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.modifierExtension",
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        "alias": [
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        ],
        "constraint": [
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            "key": "ele-1",
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        "isModifier": true,
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        "isSummary": true,
        "mapping": [
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            "identity": "rim",
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        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.medicationStorageRemarks",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.medicationStorageRemarks",
        "short": "Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage",
        "definition": "Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.medicationStorageRemarks",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.storageRemarksSpecification",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.storageRemarksSpecification",
        "short": "Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)",
        "definition": "Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.storageRemarksSpecification",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
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        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters",
        "short": "Observation Parameters",
        "definition": "Observation Parameters",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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",
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        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
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            ],
            "code": "http://hl7.org/fhirpath/System.String"
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        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.extension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.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. 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 can 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bodyTemperature",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bodyTemperature",
        "short": "Body temperature (°C) (LOINC 8310-5)",
        "definition": "Body temperature (°C) (LOINC 8310-5)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bodyTemperature",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.pulse",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.pulse",
        "short": "Pulse (beats/min) (SNOMED 364075005)",
        "definition": "Pulse (beats/min) (SNOMED 364075005)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.pulse",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic",
        "short": "Blood pressure systolic (mmHg) (LOINC 8480-6)",
        "definition": "Blood pressure systolic (mmHg) (LOINC 8480-6)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic",
        "short": "Blood pressure diastolic (mmHg) (LOINC 8462-4)",
        "definition": "Blood pressure diastolic (mmHg) (LOINC 8462-4)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications",
        "short": "Contraindications",
        "definition": "Contraindications",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.extension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.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. 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 can 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.anyContraindication",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.anyContraindication",
        "short": "Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No",
        "definition": "Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.anyContraindication",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell",
        "short": "Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)",
        "definition": "Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation",
        "short": "Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other",
        "definition": "Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification",
        "short": "Specify if decision = Other (SNOMED 438833006)",
        "definition": "Specify if decision = Other (SNOMED 438833006)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects",
        "short": "Side Effects",
        "definition": "Side Effects",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.extension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.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. 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 can 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.nausea",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.nausea",
        "short": "Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "definition": "Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.nausea",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.vomiting",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.vomiting",
        "short": "Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)",
        "definition": "Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.vomiting",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.reducedAppetiteOrTasteChanges",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.reducedAppetiteOrTasteChanges",
        "short": "Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "definition": "Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.reducedAppetiteOrTasteChanges",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.diarrhea",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.diarrhea",
        "short": "Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)",
        "definition": "Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.diarrhea",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.constipation",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.constipation",
        "short": "Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "definition": "Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.constipation",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.fatigue",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.fatigue",
        "short": "Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)",
        "definition": "Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.fatigue",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.pain",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.pain",
        "short": "Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb activities) | 444457005 Grade 2 (moderate, activities more difficult) | 444447009 Grade 3 (severe, activities hardly possible)",
        "definition": "Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb activities) | 444457005 Grade 2 (moderate, activities more difficult) | 444447009 Grade 3 (severe, activities hardly possible)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.pain",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.skinRash",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.skinRash",
        "short": "Skin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe/extensive redness or peeling)",
        "definition": "Skin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe/extensive redness or peeling)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.skinRash",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.psychosocialBurden",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.psychosocialBurden",
        "short": "Psychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (mild distress) | 444457005 Grade 2 (moderate impact) | 444447009 Grade 3 (severe impact)",
        "definition": "Psychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (mild distress) | 444457005 Grade 2 (moderate impact) | 444447009 Grade 3 (severe impact)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.psychosocialBurden",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.shortnessOfBreath",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.shortnessOfBreath",
        "short": "Shortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion affecting daily life) | 444447009 Grade 3 (at rest affecting daily activities)",
        "definition": "Shortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion affecting daily life) | 444447009 Grade 3 (at rest affecting daily activities)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.shortnessOfBreath",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.muscleAndJointPain",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.muscleAndJointPain",
        "short": "Muscle and joint pain (SNOMED 57676002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb daily life) | 444457005 Grade 2 (moderate, daily activities more difficult) | 444447009 Grade 3 (severe, daily activities hardly possible)",
        "definition": "Muscle and joint pain (SNOMED 57676002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb daily life) | 444457005 Grade 2 (moderate, daily activities more difficult) | 444447009 Grade 3 (severe, daily activities hardly possible)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.muscleAndJointPain",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations",
        "short": "Other Relevant Observations",
        "definition": "Other Relevant Observations",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.extension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.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. 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 can 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations",
        "short": "Other side effects or relevant clinical and psychosocial observations. Contact hospital for clinical concerns. (SNOMED 365275006)",
        "definition": "Other side effects or relevant clinical and psychosocial observations. Contact hospital for clinical concerns. (SNOMED 365275006)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task",
        "short": "Task",
        "definition": "Task",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.extension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.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. 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 can 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure",
        "short": "Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No",
        "definition": "Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp",
        "short": "Quality Follow-Up",
        "definition": "Quality Follow-Up",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.id",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "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": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.extension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.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. 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 can 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"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.modifierExtension",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.remarks",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.remarks",
        "short": "Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)",
        "definition": "Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.remarks",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "ONCOFulvestrantQuestionnaire",
        "path": "ONCOFulvestrantQuestionnaire",
        "short": "ONCO Fulvestrant Questionnaire Logical Model",
        "definition": "Logical model representing the nursing assessment questionnaire for home hospitalization patients receiving Fulvestrant. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: simplified contraindications checklist (fever/chills/unwell only), and includes muscle/joint pain in side effects."
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment",
        "short": "Nursing Assessment",
        "definition": "Nursing Assessment",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage",
        "short": "Storage",
        "definition": "Storage",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.medicationStorageRemarks",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.medicationStorageRemarks",
        "short": "Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage",
        "definition": "Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.storageRemarksSpecification",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.storage.storageRemarksSpecification",
        "short": "Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)",
        "definition": "Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters",
        "short": "Observation Parameters",
        "definition": "Observation Parameters",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bodyTemperature",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bodyTemperature",
        "short": "Body temperature (°C) (LOINC 8310-5)",
        "definition": "Body temperature (°C) (LOINC 8310-5)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.pulse",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.pulse",
        "short": "Pulse (beats/min) (SNOMED 364075005)",
        "definition": "Pulse (beats/min) (SNOMED 364075005)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic",
        "short": "Blood pressure systolic (mmHg) (LOINC 8480-6)",
        "definition": "Blood pressure systolic (mmHg) (LOINC 8480-6)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic",
        "short": "Blood pressure diastolic (mmHg) (LOINC 8462-4)",
        "definition": "Blood pressure diastolic (mmHg) (LOINC 8462-4)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "decimal"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications",
        "short": "Contraindications",
        "definition": "Contraindications",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.anyContraindication",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.anyContraindication",
        "short": "Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No",
        "definition": "Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell",
        "short": "Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)",
        "definition": "Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation",
        "short": "Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other",
        "definition": "Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification",
        "short": "Specify if decision = Other (SNOMED 438833006)",
        "definition": "Specify if decision = Other (SNOMED 438833006)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects",
        "short": "Side Effects",
        "definition": "Side Effects",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.nausea",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.nausea",
        "short": "Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "definition": "Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.vomiting",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.vomiting",
        "short": "Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)",
        "definition": "Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.reducedAppetiteOrTasteChanges",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.reducedAppetiteOrTasteChanges",
        "short": "Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "definition": "Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.diarrhea",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.diarrhea",
        "short": "Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)",
        "definition": "Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.constipation",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.constipation",
        "short": "Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "definition": "Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.fatigue",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.fatigue",
        "short": "Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)",
        "definition": "Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.pain",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.pain",
        "short": "Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb activities) | 444457005 Grade 2 (moderate, activities more difficult) | 444447009 Grade 3 (severe, activities hardly possible)",
        "definition": "Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb activities) | 444457005 Grade 2 (moderate, activities more difficult) | 444447009 Grade 3 (severe, activities hardly possible)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.skinRash",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.skinRash",
        "short": "Skin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe/extensive redness or peeling)",
        "definition": "Skin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe/extensive redness or peeling)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.psychosocialBurden",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.psychosocialBurden",
        "short": "Psychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (mild distress) | 444457005 Grade 2 (moderate impact) | 444447009 Grade 3 (severe impact)",
        "definition": "Psychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (mild distress) | 444457005 Grade 2 (moderate impact) | 444447009 Grade 3 (severe impact)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.shortnessOfBreath",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.shortnessOfBreath",
        "short": "Shortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion affecting daily life) | 444447009 Grade 3 (at rest affecting daily activities)",
        "definition": "Shortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion affecting daily life) | 444447009 Grade 3 (at rest affecting daily activities)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.muscleAndJointPain",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.sideEffects.muscleAndJointPain",
        "short": "Muscle and joint pain (SNOMED 57676002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb daily life) | 444457005 Grade 2 (moderate, daily activities more difficult) | 444447009 Grade 3 (severe, daily activities hardly possible)",
        "definition": "Muscle and joint pain (SNOMED 57676002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild, does not disturb daily life) | 444457005 Grade 2 (moderate, daily activities more difficult) | 444447009 Grade 3 (severe, daily activities hardly possible)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations",
        "short": "Other Relevant Observations",
        "definition": "Other Relevant Observations",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations",
        "short": "Other side effects or relevant clinical and psychosocial observations. Contact hospital for clinical concerns. (SNOMED 365275006)",
        "definition": "Other side effects or relevant clinical and psychosocial observations. Contact hospital for clinical concerns. (SNOMED 365275006)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task",
        "short": "Task",
        "definition": "Task",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure",
        "short": "Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No",
        "definition": "Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp",
        "short": "Quality Follow-Up",
        "definition": "Quality Follow-Up",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.remarks",
        "path": "ONCOFulvestrantQuestionnaire.nursingAssessment.qualityFollowUp.remarks",
        "short": "Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)",
        "definition": "Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      }
    ]
  }
}