FHIR © HL7.org  |  FHIRsmith 0.14.2  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagetw.vgh.stroke
Resource TypeStructureDefinition
IdStructureDefinition-StrokeRegistryResponse.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/SitatechCo/TWVGHStroke_IG_Build/StructureDefinition-StrokeRegistryResponse.html
URLhttp://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse
Version0.1.0
Statusdraft
Date2026-10-07T16:40:32+00:00
NameStrokeRegistryResponse
Title腦中風-登錄表單回覆
Realmtw
Description此 Profile 說明本 IG 如何進一步定義 FHIR 的 QuestionnaireResponse Resource,以呈現腦中風登錄表單的回覆,包括登錄識別碼、表單狀態、無法轉成臨床資源的欄位,以及來源原始值備份。
Purpose每個來源、每份表單、每位個案各建一筆。個管系統每個個管事件建一筆;EVT 登錄每位個案的主表與追蹤表各建一筆,各自記錄狀態;RAPID 每次掃描建一筆。回覆內容分兩類:無法轉成臨床資源的欄位歸為正規化題目,以 linkId 的 Slice 定義;來源原值以字串存入原始值群組(raw.*),供追溯與重新轉換。可轉成臨床資源的資料(診斷、評估、處置、用藥等),請以對應的臨床 Profile 呈現。
TypeQuestionnaireResponse
Kindresource

Resources that use this resource

StructureDefinition
tw.vgh.stroke#currentStrokeCaseManagementBundle腦中風-個管系統個案資料包
tw.vgh.stroke#currentStrokeEvtRegistryBundle腦中風-EVT 登錄個案資料包
tw.vgh.stroke#currentStrokeRapidBundle腦中風-RAPID 影像分析資料包

Resources that this resource uses

StructureDefinition
tw.vgh.stroke#currentStrokeEncounter腦中風-就醫事件
tw.vgh.stroke#currentStrokeOrganization腦中風-醫療院所
tw.vgh.stroke#currentStrokePatient腦中風-病人基本資料
tw.vgh.stroke#currentStrokePractitioner腦中風-醫事人員
tw.gov.mohw.twcore#currentQuestionnaireResponse-twcoreTW Core QuestionnaireResponse
ValueSet
tw.vgh.stroke#currentpre-evt-ivtpa-site腦中風-EVT 前 IV-tPA 施打院所值集

Narrative

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

Generated Narrative: StructureDefinition StrokeRegistryResponse

NameFlagsCard.TypeDescription & Constraintsdoco
QuestionnaireResponse TWCoreQuestionnaireResponse
QuestionnaireResponse.identifier 0..1Identifier來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]
QuestionnaireResponse.identifier.system S This element must be supported. 1..1uri識別碼系統。[依來源填入固定的系統網址]
QuestionnaireResponse.identifier.value S This element must be supported. 1..1string識別碼。[原樣填入來源序號]
QuestionnaireResponse.questionnaire 1..1canonical(SDCBaseQuestionnaire)所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]
Fixed Value: http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0
QuestionnaireResponse.status 1..1code表單狀態。[應填入 in-progress 或 completed]
QuestionnaireResponse.subject 1..1Reference(腦中風-病人基本資料)病人。[應參照 StrokePatient]
QuestionnaireResponse.encounter S This element must be supported. 0..1Reference(腦中風-就醫事件)就醫事件。[應參照 StrokeEncounter]
QuestionnaireResponse.authored 1..1dateTime資料登錄日期時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區;來源沒有登錄日期時改填 data-absent-reason]
QuestionnaireResponse.authored.Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
QuestionnaireResponse.authored.Slices for extension.extension:dataAbsentReason S This element must be supported. 0..1code登錄時間缺值原因。[來源沒有登錄日期時填 unknown]
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
QuestionnaireResponse.author 0..1Reference(腦中風-醫事人員 | 腦中風-醫療院所)登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]
QuestionnaireResponse.source 0..1Reference(腦中風-病人基本資料 | 腦中風-醫事人員)回答資料的提供者。[通常不填;若填,應參照 StrokePatient 或 StrokePractitioner]
QuestionnaireResponse.Slices for item 0..*BackboneElement表單題目與回答
Slice: Unordered, Open by value:linkId
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
QuestionnaireResponse.Slices for item.item:consent S This element must be supported. 0..1BackboneElement研究同意書簽署狀態。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:consent.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: demographics.consent
QuestionnaireResponse.Slices for item.item:consent.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:consent.answer.value[x] 1..1boolean是否已簽署。[true=已簽署;false=無簽署]
QuestionnaireResponse.Slices for item.item:consent.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:consent.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:consentDate S This element must be supported. 0..1BackboneElement研究同意書簽署日期。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:consentDate.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: demographics.consentDate
QuestionnaireResponse.Slices for item.item:consentDate.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:consentDate.answer.value[x] 1..1date簽署日期。[YYYY-MM-DD,西元年月日]
QuestionnaireResponse.Slices for item.item:consentDate.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:consentDate.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:signDnr S This element must be supported. 0..1BackboneElement住院期間簽署 DNR。[適用個管系統]
QuestionnaireResponse.Slices for item.item:signDnr.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: inpatientTreatment.tre09
QuestionnaireResponse.Slices for item.item:signDnr.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:signDnr.answer.value[x] 1..1boolean是否簽署。[true=有;false=無]
QuestionnaireResponse.Slices for item.item:signDnr.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:signDnr.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa S This element must be supported. 0..1BackboneElementEVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: preEvt.beforeEvtIvtpa
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.answer.value[x] 1..1Coding施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼:1|2|3]
Binding: 腦中風-EVT 前 IV-tPA 施打院所值集 (required)
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rapidRequestNo S This element must be supported. 0..1BackboneElementRAPID 影像申請序號。[適用 RAPID]
QuestionnaireResponse.Slices for item.item:rapidRequestNo.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: rapid.rpreqno
QuestionnaireResponse.Slices for item.item:rapidRequestNo.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:rapidRequestNo.answer.value[x] 1..1string申請序號。[原樣填入]
QuestionnaireResponse.Slices for item.item:rapidRequestNo.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:rapidRequestNo.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital S This element must be supported. 0..1BackboneElement離院轉入醫院。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: discharge.leavePlaceHospital
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.answer.value[x] 1..1string醫院名稱。[自由文字,原樣填入]
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:threeMonthHospital S This element must be supported. 0..1BackboneElement中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]
QuestionnaireResponse.Slices for item.item:threeMonthHospital.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: followUp3Month.traceThreePlaceHospital
QuestionnaireResponse.Slices for item.item:threeMonthHospital.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:threeMonthHospital.answer.value[x] 1..1string醫院名稱。[自由文字,原樣填入]
QuestionnaireResponse.Slices for item.item:threeMonthHospital.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:threeMonthHospital.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:followUpVisitHospital S This element must be supported. 0..1BackboneElement追蹤回診醫院。[適用 EVT 登錄追蹤表]
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: followUpEvent.traceTreat1Hospital
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.answer.value[x] 1..1string醫院名稱。[自由文字,原樣填入]
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital S This element must be supported. 0..1BackboneElement再中風就醫醫院。[適用 EVT 登錄追蹤表]
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: followUpEvent.traceTreat2StrokeHospital
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.answer.value[x] 1..1string醫院名稱。[自由文字,原樣填入]
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19 S This element must be supported. 0..1BackboneElement昏迷指數與生命徵象的額外欄位(第 19 欄)。[適用個管系統]
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: unresolved.NCVA.COMASCALE.UNNAMED_COL_19
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.answer 1..1BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.answer.value[x] 1..1string原始值。[原樣填入]
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06 S This element must be supported. 0..1BackboneElementmRS 評估的額外欄位(第 6 欄)。[適用個管系統]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: unresolved.NCVA.mRS.UNNAMED_COL_06
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.answer 1..*BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.answer.value[x] 1..1string原始值。[原樣填入]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07 S This element must be supported. 0..1BackboneElementmRS 評估的額外欄位(第 7 欄)。[適用個管系統]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: unresolved.NCVA.mRS.UNNAMED_COL_07
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.answer 1..*BackboneElementThe response(s) to the question
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.answer.value[x] 1..1string原始值。[原樣填入]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.answer.item 0..0Nested groups and questions
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawNcva S This element must be supported. 0..1BackboneElement個管系統原始值。[linkId 固定為 raw.ncva]
QuestionnaireResponse.Slices for item.item:rawNcva.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: raw.ncva
QuestionnaireResponse.Slices for item.item:rawNcva.answer 0..0The response(s) to the question
QuestionnaireResponse.Slices for item.item:rawNcva.item 1..*BackboneElementNested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawNcva.item.answer
QuestionnaireResponse.Slices for item.item:rawNcva.item.answer.value[x] 0..1stringSingle-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawNcva.item.item 0..*BackboneElementNested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawNcva.item.item.answer
QuestionnaireResponse.Slices for item.item:rawNcva.item.item.answer.value[x] 0..1stringSingle-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawNcva.item.item.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawEvt S This element must be supported. 0..1BackboneElementEVT 登錄原始值。[linkId 固定為 raw.evt]
QuestionnaireResponse.Slices for item.item:rawEvt.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: raw.evt
QuestionnaireResponse.Slices for item.item:rawEvt.answer 0..0The response(s) to the question
QuestionnaireResponse.Slices for item.item:rawEvt.item 1..*BackboneElementNested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawEvt.item.answer
QuestionnaireResponse.Slices for item.item:rawEvt.item.answer.value[x] 0..1stringSingle-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawEvt.item.item 0..*BackboneElementNested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawEvt.item.item.answer
QuestionnaireResponse.Slices for item.item:rawEvt.item.item.answer.value[x] 0..1stringSingle-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawEvt.item.item.item 0..0Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawRapid S This element must be supported. 0..1BackboneElementRAPID 原始值。[linkId 固定為 raw.rapid]
QuestionnaireResponse.Slices for item.item:rawRapid.linkId 1..1stringPointer to specific item from Questionnaire
Fixed Value: raw.rapid
QuestionnaireResponse.Slices for item.item:rawRapid.answer 0..0The response(s) to the question
QuestionnaireResponse.Slices for item.item:rawRapid.item 1..*BackboneElementNested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawRapid.item.answer
QuestionnaireResponse.Slices for item.item:rawRapid.item.answer.value[x] 0..1stringSingle-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawRapid.item.item 0..0Nested questionnaire response items

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "StrokeRegistryResponse",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse",
  "version": "0.1.0",
  "name": "StrokeRegistryResponse",
  "title": "腦中風-登錄表單回覆",
  "status": "draft",
  "date": "2026-10-07T16:40:32+00:00",
  "publisher": "高雄榮民總醫院 (VGHKS)",
  "contact": [
    {
      "name": "高雄榮民總醫院 (VGHKS)",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.vghks.gov.tw/"
        }
      ]
    }
  ],
  "description": "此 Profile 說明本 IG 如何進一步定義 FHIR 的 QuestionnaireResponse Resource,以呈現腦中風登錄表單的回覆,包括登錄識別碼、表單狀態、無法轉成臨床資源的欄位,以及來源原始值備份。",
  "purpose": "每個來源、每份表單、每位個案各建一筆。個管系統每個個管事件建一筆;EVT 登錄每位個案的主表與追蹤表各建一筆,各自記錄狀態;RAPID 每次掃描建一筆。回覆內容分兩類:無法轉成臨床資源的欄位歸為正規化題目,以 linkId 的 Slice 定義;來源原值以字串存入原始值群組(raw.*),供追溯與重新轉換。可轉成臨床資源的資料(診斷、評估、處置、用藥等),請以對應的臨床 Profile 呈現。",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "QuestionnaireResponse",
  "baseDefinition": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "1.0.0"
      }
    ],
    "element": [
      {
        "id": "QuestionnaireResponse",
        "path": "QuestionnaireResponse",
        "short": "SDC Questionnaire Response",
        "definition": "Sets expectations for supported capabilities for questionnaire responses for SDC-conformant systems.",
        "comment": "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on.  I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.",
        "alias": [
          "Form",
          "QuestionnaireAnswers",
          "Form Data"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              }
            ],
            "key": "sdcqr-1",
            "severity": "warning",
            "human": "Subject SHOULD be present (searching is difficult without subject).  Almost all QuestionnaireResponses should be with respect to some sort of subject.",
            "expression": "subject.exists()",
            "xpath": "exists(f:subject)",
            "source": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              }
            ],
            "key": "sdcqr-2",
            "severity": "error",
            "human": "When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse.  For a question, it'll be represented by a single item with that linkId with multiple answers.",
            "expression": "(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()",
            "xpath": "not(exists(for $item in descendant::f:item[f:answer] return $item/preceding-sibling::f:item[f:linkId/@value=$item/f:linkId/@value]))",
            "source": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "rim",
            "map": "Observation[moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.id",
        "path": "QuestionnaireResponse.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "QuestionnaireResponse.meta",
        "path": "QuestionnaireResponse.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "QuestionnaireResponse.implicitRules",
        "path": "QuestionnaireResponse.implicitRules",
        "short": "A set of rules under which this content was created",
        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary": true
      },
      {
        "id": "QuestionnaireResponse.language",
        "path": "QuestionnaireResponse.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1"
        }
      },
      {
        "id": "QuestionnaireResponse.text",
        "path": "QuestionnaireResponse.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.contained",
        "path": "QuestionnaireResponse.contained",
        "short": "Contained, inline Resources",
        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.extension",
        "path": "QuestionnaireResponse.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.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
      },
      {
        "id": "QuestionnaireResponse.extension:signature",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "signature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.extension:completionMode",
        "path": "QuestionnaireResponse.extension",
        "sliceName": "completionMode",
        "short": "E.g. Verbal, written, electronic",
        "definition": "Indicates how the individual completing the QuestionnaireResponse provided their responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.modifierExtension",
        "path": "QuestionnaireResponse.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\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"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.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 resource that contains them",
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier",
        "path": "QuestionnaireResponse.identifier",
        "short": "來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]",
        "definition": "原樣填入來源系統給這份登錄資料的識別碼。個管系統回覆填個管流水序號;EVT 登錄的主表與追蹤表回覆都填 EVT 登錄個案識別碼。RAPID 回覆或來源沒有識別碼時不填。",
        "requirements": "Used for tracking, registration and other business purposes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "rim",
            "map": ".id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier.id",
        "path": "QuestionnaireResponse.identifier.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": "QuestionnaireResponse.identifier.extension",
        "path": "QuestionnaireResponse.identifier.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": "QuestionnaireResponse.identifier.use",
        "path": "QuestionnaireResponse.identifier.use",
        "short": "usual | official | temp | secondary | old (If known)",
        "definition": "The purpose of this identifier.",
        "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "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"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierUse"
            }
          ],
          "strength": "required",
          "description": "Identifies the purpose for this identifier, if known .",
          "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier.type",
        "path": "QuestionnaireResponse.identifier.type",
        "short": "Description of identifier",
        "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment": "This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
        "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierType"
            }
          ],
          "strength": "extensible",
          "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.5"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier.system",
        "path": "QuestionnaireResponse.identifier.system",
        "short": "識別碼系統。[依來源填入固定的系統網址]",
        "definition": "個管流水序號與 EVT 登錄個案識別碼各用一個固定的系統網址。範例使用 http://www.vghks.gov.tw/stroke-case-management-serial(個管流水序號)與 http://www.vghks.gov.tw/evt-registry-id(EVT 登錄個案識別碼)。",
        "comment": "Identifier.system is always case sensitive.",
        "requirements": "There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Identifier.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/identifiers/patient"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.4 / EI-2-4"
          },
          {
            "identity": "rim",
            "map": "II.root or Role.id.root"
          },
          {
            "identity": "servd",
            "map": "./IdentifierType"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier.value",
        "path": "QuestionnaireResponse.identifier.value",
        "short": "識別碼。[原樣填入來源序號]",
        "definition": "原樣填入來源序號並保留前置零。個管流水序號須搭配病歷號才能識別個案,subject 須指向對應的病人。",
        "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Identifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "123456"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.1 / EI.1"
          },
          {
            "identity": "rim",
            "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity": "servd",
            "map": "./Value"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier.period",
        "path": "QuestionnaireResponse.identifier.period",
        "short": "Time period when id is/was valid for use",
        "definition": "Time period during which identifier is/was valid for use.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.7 + CX.8"
          },
          {
            "identity": "rim",
            "map": "Role.effectiveTime or implied by context"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.identifier.assigner",
        "path": "QuestionnaireResponse.identifier.assigner",
        "short": "Organization that issued id (may be just text)",
        "definition": "Organization that issued/manages the identifier.",
        "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.assigner",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity": "rim",
            "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity": "servd",
            "map": "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.basedOn",
        "path": "QuestionnaireResponse.basedOn",
        "short": "Request fulfilled by this QuestionnaireResponse",
        "definition": "The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.  For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.",
        "requirements": "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.",
        "alias": [
          "order"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.basedOn",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CarePlan-twcore",
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ServiceRequest-twcore"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.basedOn"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.partOf",
        "path": "QuestionnaireResponse.partOf",
        "short": "Part of this action",
        "definition": "A procedure or observation that this questionnaire was performed as part of the execution of.  For example, the surgery a checklist was executed as part of.",
        "comment": "Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.partOf",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-clinical-result-twcore",
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.partOf"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.questionnaire",
        "path": "QuestionnaireResponse.questionnaire",
        "short": "所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]",
        "definition": "所有來源都使用同一份表單,固定填入 http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0。",
        "comment": "For SDC, this SHALL be the version-specific URL of the form as hosted on the Form Manager.",
        "requirements": "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.",
        "alias": [
          "Form"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.questionnaire",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "canonical",
            "targetProfile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
            ]
          }
        ],
        "fixedCanonical": "http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.instantiates"
          },
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.questionnaire.id",
        "path": "QuestionnaireResponse.questionnaire.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references)",
        "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
      },
      {
        "id": "QuestionnaireResponse.questionnaire.extension",
        "path": "QuestionnaireResponse.questionnaire.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.questionnaire.extension:questionnaireDisplay",
        "path": "QuestionnaireResponse.questionnaire.extension",
        "sliceName": "questionnaireDisplay",
        "short": "Display name for canonical reference",
        "definition": "The title or other name to display when referencing a resource by canonical URL.",
        "comment": "This SHALL be the title of the Questionnaire at the time the QuestionnaireResponse was originally authored.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/display|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.questionnaire.extension:url",
        "path": "QuestionnaireResponse.questionnaire.extension",
        "sliceName": "url",
        "short": "Questionnaire Url",
        "definition": "Questionnaire URI",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/questionnaire-url"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.questionnaire.value",
        "path": "QuestionnaireResponse.questionnaire.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for canonical",
        "definition": "Primitive value for canonical",
        "min": 0,
        "max": "1",
        "base": {
          "path": "uri.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "\\S*"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.status",
        "path": "QuestionnaireResponse.status",
        "short": "表單狀態。[應填入 in-progress 或 completed]",
        "definition": "依來源的表單登錄狀態填寫:來源為 1(表單暫存)填 in-progress;來源為 2(已結案)且確認結案事實填 completed。來源空白、代碼無法辨識或來源沒有表單狀態(個管系統、RAPID)時填 in-progress,原始代碼保留在原始值群組。EVT 主表與追蹤表各自依登錄狀態填寫。資料若更正或作廢,改填 amended 或 entered-in-error。",
        "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "requirements": "The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": true,
        "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireResponseStatus"
            }
          ],
          "strength": "required",
          "description": "Lifecycle status of the questionnaire response.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "rim",
            "map": ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.subject",
        "path": "QuestionnaireResponse.subject",
        "short": "病人。[應參照 StrokePatient]",
        "definition": "表單所屬的病人,必填,參照 StrokePatient。",
        "comment": "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.\r\n  If subject is omitted - because the QuestionnaireResponse is not associated with a specific subject, ensure that QuestionnaireRsponse.identifier is present or the QuestionnaireResponse is referenced somewhere (e.g. Task.output, Composition.section.entry, etc.) to allow tracking and retrieval of the QuestionnaireResponse",
        "requirements": "Allows linking the answers to the individual the answers describe.  May also affect access control.",
        "alias": [
          "Patient",
          "Focus"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.subject",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.subject"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=SBJ].role"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.encounter",
        "path": "QuestionnaireResponse.encounter",
        "short": "就醫事件。[應參照 StrokeEncounter]",
        "definition": "表單所屬的就醫事件,確定是同一次就醫時才填。",
        "comment": "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.",
        "requirements": "Provides context for the information that was captured.  May also affect access control.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.encounter"
          },
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.authored",
        "path": "QuestionnaireResponse.authored",
        "short": "資料登錄日期時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區;來源沒有登錄日期時改填 data-absent-reason]",
        "definition": "必填來源記錄的資料登錄日期與時間:直接填值,或以 data-absent-reason 擴充表示缺值。時區確認前只填日期(YYYY-MM-DD),時間原值以 StrokeEventTimeOnly 擴充附在 authored 上,並存於原始值群組(EVT 主表為 raw.evt.administration.keyinDate);確認後填完整日期時間並帶時區(例如 +08:00)。來源沒有登錄日期(例如個管系統、RAPID)時,authored 不填值,改以 data-absent-reason(unknown)表示。確認 EVT 的登錄日期時間是否適用追蹤表前,追蹤表的 authored 也以 data-absent-reason 表示。",
        "comment": "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.",
        "requirements": "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.",
        "alias": [
          "Date Created",
          "Date published",
          "Date Issued",
          "Date updated"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.authored",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.recorded"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].time"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.authored.id",
        "path": "QuestionnaireResponse.authored.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references)",
        "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
      },
      {
        "id": "QuestionnaireResponse.authored.extension",
        "path": "QuestionnaireResponse.authored.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.authored.extension:dataAbsentReason",
        "path": "QuestionnaireResponse.authored.extension",
        "sliceName": "dataAbsentReason",
        "short": "登錄時間缺值原因。[來源沒有登錄日期時填 unknown]",
        "definition": "來源沒有登錄日期時使用,valueCode 填 unknown,此時 authored 不填值。若 authored 已填日期或完整日期時間,則不填本擴充。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "ANY.nullFlavor"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.authored.value",
        "path": "QuestionnaireResponse.authored.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for dateTime",
        "definition": "The actual value",
        "min": 0,
        "max": "1",
        "base": {
          "path": "dateTime.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "dateTime"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.DateTime"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.author",
        "path": "QuestionnaireResponse.author",
        "short": "登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]",
        "definition": "填入登錄這份表單的人員或院所。只知道姓名時填 author.display 即可,不另建 Practitioner;不知道時不填。登錄經手人員另記錄於 StrokeProvenance。",
        "comment": "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated.",
        "requirements": "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.",
        "alias": [
          "Laboratory",
          "Service",
          "Practitioner",
          "Department",
          "Company",
          "Performer"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.author",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner",
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer"
          },
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].role"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.source",
        "path": "QuestionnaireResponse.source",
        "short": "回答資料的提供者。[通常不填;若填,應參照 StrokePatient 或 StrokePractitioner]",
        "definition": "實際提供回答內容的人。登錄資料多摘錄自病歷,平時不填;明確由病人本人或特定醫事人員提供時才填。",
        "comment": "If not specified, no inference can be made about who provided the data.",
        "requirements": "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.source",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient",
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.source"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=INF].role"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item",
        "path": "QuestionnaireResponse.item",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "linkId"
            }
          ],
          "description": "依 linkId 區分正規化題目與原始值群組",
          "ordered": false,
          "rules": "open"
        },
        "short": "表單題目與回答",
        "definition": "題目與回答分兩類。正規化題目:下列各 Slice,linkId 固定,答案型別依各 Slice 規定;原始值群組:包含 raw.ncva(個管系統)、raw.evt(EVT 登錄)、raw.rapid(RAPID),均以字串保存來源原值。每份回覆只填該來源有的題目。所有 linkId 都必須存在於 stroke-registry 表單,並依表單順序排列。來源空白時略過該題;來源值無法辨識時(例如是否題出現 0、1 以外的值、選項題出現未定義代碼),不填正規化題目,只存於原始值群組。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "date"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "dateTime"
          },
          {
            "code": "time"
          },
          {
            "code": "decimal"
          },
          {
            "code": "integer"
          },
          {
            "code": "string"
          },
          {
            "code": "Coding"
          },
          {
            "code": "uri"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Attachment"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent",
        "path": "QuestionnaireResponse.item",
        "sliceName": "consent",
        "short": "研究同意書簽署狀態。[適用 EVT 登錄主表]",
        "definition": "記錄病人是否已簽署研究同意書。只記錄簽署事實,不據此建立 Consent。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:consent.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:consent.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consent.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consent.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:consent.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "demographics.consent",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:consent.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:consent.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "是否已簽署。[true=已簽署;false=無簽署]",
        "definition": "來源為 1(已簽署)填 true;0(無簽署)填 false。來源空白時略過本題;其他值只存於原始值群組。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate",
        "path": "QuestionnaireResponse.item",
        "sliceName": "consentDate",
        "short": "研究同意書簽署日期。[適用 EVT 登錄主表]",
        "definition": "填入研究同意書簽署日期,只保存在表單。待取得實際同意文件與同意範圍後,才另建 Consent。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:consentDate.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:consentDate.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "demographics.consentDate",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:consentDate.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:consentDate.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "簽署日期。[YYYY-MM-DD,西元年月日]",
        "definition": "西元年月日,格式為 YYYY-MM-DD。來源空白時略過本題;日期格式不正確時只存於原始值群組。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "date"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr",
        "path": "QuestionnaireResponse.item",
        "sliceName": "signDnr",
        "short": "住院期間簽署 DNR。[適用個管系統]",
        "definition": "記錄住院期間是否簽署 DNR(不施行心肺復甦術)意願書。只記錄簽署註記,不據此建立醫囑或 Consent。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:signDnr.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:signDnr.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "inpatientTreatment.tre09",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:signDnr.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:signDnr.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "是否簽署。[true=有;false=無]",
        "definition": "來源為 1(有)填 true;0(無)填 false。來源空白時略過本題;其他值只存於原始值群組。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa",
        "path": "QuestionnaireResponse.item",
        "sliceName": "beforeEvtIvtpa",
        "short": "EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]",
        "definition": "EVT 前是否施打 IV-tPA 及施打院所共有三種選項。選 1 或 2 且施打時間、劑量等資料齊全時,另以 StrokeMedicationAdministration 記錄給藥;選 3 則只保留在本題,不另建未給藥紀錄。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:beforeEvtIvtpa.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:beforeEvtIvtpa.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "preEvt.beforeEvtIvtpa",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼:1|2|3]",
        "definition": "system 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/pre-evt-ivtpa-site。代碼可填 1(本院施打)、2(他院施打)、3(未施打)。來源空白請省略本題;其他代碼只保留在原始值群組。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rapidRequestNo",
        "short": "RAPID 影像申請序號。[適用 RAPID]",
        "definition": "原樣保留 RAPID 影像分析資料的申請序號。在確認此序號是檢查的 accession number、醫令號或檢查項目碼之前,請勿寫入 ImagingStudy 或 ServiceRequest 的識別碼。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rapidRequestNo.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rapidRequestNo.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "rapid.rpreqno",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rapidRequestNo.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rapidRequestNo.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "申請序號。[原樣填入]",
        "definition": "原樣填入並保留前置零。來源空白請省略本題。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "dischargeTransferHospital",
        "short": "離院轉入醫院。[適用 EVT 登錄主表]",
        "definition": "離院去向為轉院時填寫的轉入醫院名稱。院所主檔核定後,可另填入 StrokeEncounter 的 hospitalization.destination.display。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:dischargeTransferHospital.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:dischargeTransferHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "discharge.leavePlaceHospital",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:dischargeTransferHospital.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "threeMonthHospital",
        "short": "中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]",
        "definition": "填寫中風後 3 個月追蹤時,病人所在的醫院名稱。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:threeMonthHospital.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:threeMonthHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "followUp3Month.traceThreePlaceHospital",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:threeMonthHospital.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:threeMonthHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "followUpVisitHospital",
        "short": "追蹤回診醫院。[適用 EVT 登錄追蹤表]",
        "definition": "填寫追蹤期間病人繼續回診服藥的醫院名稱。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:followUpVisitHospital.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:followUpVisitHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "followUpEvent.traceTreat1Hospital",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:followUpVisitHospital.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "recurrentStrokeHospital",
        "short": "再中風就醫醫院。[適用 EVT 登錄追蹤表]",
        "definition": "填寫追蹤期間再中風時,病人就醫的醫院名稱。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:recurrentStrokeHospital.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:recurrentStrokeHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "followUpEvent.traceTreat2StrokeHospital",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19",
        "path": "QuestionnaireResponse.item",
        "sliceName": "unresolvedComaScaleCol19",
        "short": "昏迷指數與生命徵象的額外欄位(第 19 欄)。[適用個管系統]",
        "definition": "記錄個管系統昏迷指數與生命徵象資料中,實際檔案比譯碼簿多出的一欄。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:unresolvedComaScaleCol19.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "unresolved.NCVA.COMASCALE.UNNAMED_COL_19",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "原始值。[原樣填入]",
        "definition": "完整填入原始字串。來源空白請省略本題。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06",
        "path": "QuestionnaireResponse.item",
        "sliceName": "unresolvedMrsCol06",
        "short": "mRS 評估的額外欄位(第 6 欄)。[適用個管系統]",
        "definition": "個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第一欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:unresolvedMrsCol06.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:unresolvedMrsCol06.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "unresolved.NCVA.mRS.UNNAMED_COL_06",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "原始值。[原樣填入]",
        "definition": "完整填入原始字串,空白值不填。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07",
        "path": "QuestionnaireResponse.item",
        "sliceName": "unresolvedMrsCol07",
        "short": "mRS 評估的額外欄位(第 7 欄)。[適用個管系統]",
        "definition": "個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第二欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:unresolvedMrsCol07.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:unresolvedMrsCol07.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "unresolved.NCVA.mRS.UNNAMED_COL_07",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "原始值。[原樣填入]",
        "definition": "完整填入原始字串,空白值不填。",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rawNcva",
        "short": "個管系統原始值。[linkId 固定為 raw.ncva]",
        "definition": "收納個管系統的來源原始值。下層請依個管系統邏輯模型(StrokeCaseManagementLM)元素排列:識別欄位與各欄位為字串題目,資料表為群組題目。linkId 為 `raw.ncva.<邏輯模型元素路徑>`,例如 raw.ncva.caseMain.occdate。NIHSS 與 mRS 評估每一列各建一個群組。所有值一律填入 valueString(包含代碼、日期、時間與數字);去除前後空白,其餘不改寫;空白欄位直接省略。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rawNcva.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rawNcva.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "raw.ncva",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rawNcva.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rawNcva.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "date"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "dateTime"
          },
          {
            "code": "time"
          },
          {
            "code": "decimal"
          },
          {
            "code": "integer"
          },
          {
            "code": "string"
          },
          {
            "code": "Coding"
          },
          {
            "code": "uri"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Attachment"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.id",
        "path": "QuestionnaireResponse.item.item.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": "QuestionnaireResponse.item:rawNcva.item.extension",
        "path": "QuestionnaireResponse.item.item.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawNcva.item.modifierExtension",
        "path": "QuestionnaireResponse.item.item.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": "QuestionnaireResponse.item:rawNcva.item.linkId",
        "path": "QuestionnaireResponse.item.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.definition",
        "path": "QuestionnaireResponse.item.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.text",
        "path": "QuestionnaireResponse.item.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.answer",
        "path": "QuestionnaireResponse.item.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.answer.id",
        "path": "QuestionnaireResponse.item.item.answer.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": "QuestionnaireResponse.item:rawNcva.item.answer.extension",
        "path": "QuestionnaireResponse.item.item.answer.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawNcva.item.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.item.answer.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": "QuestionnaireResponse.item:rawNcva.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.answer.item",
        "path": "QuestionnaireResponse.item.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item",
        "path": "QuestionnaireResponse.item.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.id",
        "path": "QuestionnaireResponse.item.item.item.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": "QuestionnaireResponse.item:rawNcva.item.item.extension",
        "path": "QuestionnaireResponse.item.item.item.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawNcva.item.item.modifierExtension",
        "path": "QuestionnaireResponse.item.item.item.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": "QuestionnaireResponse.item:rawNcva.item.item.linkId",
        "path": "QuestionnaireResponse.item.item.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.definition",
        "path": "QuestionnaireResponse.item.item.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.text",
        "path": "QuestionnaireResponse.item.item.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.answer",
        "path": "QuestionnaireResponse.item.item.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.answer.id",
        "path": "QuestionnaireResponse.item.item.item.answer.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": "QuestionnaireResponse.item:rawNcva.item.item.answer.extension",
        "path": "QuestionnaireResponse.item.item.item.answer.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawNcva.item.item.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.item.item.answer.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": "QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.answer.item",
        "path": "QuestionnaireResponse.item.item.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.item",
        "path": "QuestionnaireResponse.item.item.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rawEvt",
        "short": "EVT 登錄原始值。[linkId 固定為 raw.evt]",
        "definition": "收納 EVT 登錄的來源原始值。下層請依 EVT 登錄邏輯模型(StrokeEvtRegistryLM)元素排列:個案識別碼與各欄位為字串題目,欄位分組為群組題目。linkId 為 `raw.evt.<邏輯模型元素路徑>`,例如 raw.evt.demographics.consent。主表回覆放追蹤以外的欄位;追蹤表回覆放個案識別碼、追蹤表登錄狀態,以及 3 個月追蹤與追蹤醫療事件的欄位。值一律填入 valueString;去除前後空白,其餘不改寫;空白欄位直接省略。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rawEvt.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rawEvt.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "raw.evt",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rawEvt.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rawEvt.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "date"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "dateTime"
          },
          {
            "code": "time"
          },
          {
            "code": "decimal"
          },
          {
            "code": "integer"
          },
          {
            "code": "string"
          },
          {
            "code": "Coding"
          },
          {
            "code": "uri"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Attachment"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.id",
        "path": "QuestionnaireResponse.item.item.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": "QuestionnaireResponse.item:rawEvt.item.extension",
        "path": "QuestionnaireResponse.item.item.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawEvt.item.modifierExtension",
        "path": "QuestionnaireResponse.item.item.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": "QuestionnaireResponse.item:rawEvt.item.linkId",
        "path": "QuestionnaireResponse.item.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.definition",
        "path": "QuestionnaireResponse.item.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.text",
        "path": "QuestionnaireResponse.item.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.answer",
        "path": "QuestionnaireResponse.item.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.answer.id",
        "path": "QuestionnaireResponse.item.item.answer.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": "QuestionnaireResponse.item:rawEvt.item.answer.extension",
        "path": "QuestionnaireResponse.item.item.answer.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawEvt.item.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.item.answer.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": "QuestionnaireResponse.item:rawEvt.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.answer.item",
        "path": "QuestionnaireResponse.item.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item",
        "path": "QuestionnaireResponse.item.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.id",
        "path": "QuestionnaireResponse.item.item.item.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": "QuestionnaireResponse.item:rawEvt.item.item.extension",
        "path": "QuestionnaireResponse.item.item.item.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawEvt.item.item.modifierExtension",
        "path": "QuestionnaireResponse.item.item.item.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": "QuestionnaireResponse.item:rawEvt.item.item.linkId",
        "path": "QuestionnaireResponse.item.item.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.definition",
        "path": "QuestionnaireResponse.item.item.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.text",
        "path": "QuestionnaireResponse.item.item.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.answer",
        "path": "QuestionnaireResponse.item.item.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.answer.id",
        "path": "QuestionnaireResponse.item.item.item.answer.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": "QuestionnaireResponse.item:rawEvt.item.item.answer.extension",
        "path": "QuestionnaireResponse.item.item.item.answer.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawEvt.item.item.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.item.item.answer.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": "QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.answer.item",
        "path": "QuestionnaireResponse.item.item.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.item",
        "path": "QuestionnaireResponse.item.item.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rawRapid",
        "short": "RAPID 原始值。[linkId 固定為 raw.rapid]",
        "definition": "收納 RAPID 影像分析的來源原始值。下層請依 RAPID 邏輯模型(StrokeRapidLM)元素排列,每個欄位建一個字串題目,linkId 為 `raw.rapid.<邏輯模型元素路徑>`,例如 raw.rapid.scantype。值一律填入 valueString;去除前後空白,其餘不改寫,9999 等特殊值也照填;空白欄位直接省略。",
        "comment": "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "qrs-1",
            "severity": "error",
            "human": "Nested item can't be beneath both item and answer",
            "expression": "(answer.exists() and item.exists()).not()",
            "xpath": "not(exists(f:answer) and exists(f:item))",
            "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.id",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rawRapid.extension",
        "path": "QuestionnaireResponse.item.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.extension:itemMedia",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "itemMedia",
        "short": "Media to display",
        "definition": "Media to render/make available as an accompaniment to the question being asked",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.extension:ItemSignature",
        "path": "QuestionnaireResponse.item.extension",
        "sliceName": "ItemSignature",
        "short": "A signature attesting to the content",
        "definition": "Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.modifierExtension",
        "path": "QuestionnaireResponse.item.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": "QuestionnaireResponse.item:rawRapid.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "raw.rapid",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.definition",
        "path": "QuestionnaireResponse.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.text",
        "path": "QuestionnaireResponse.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer",
        "path": "QuestionnaireResponse.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer.id",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rawRapid.answer.extension",
        "path": "QuestionnaireResponse.item.answer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "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
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer.extension:itemAnswerMedia",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "itemAnswerMedia",
        "short": "Answer Media to display",
        "definition": "Media to render/make available as an accompaniment to a specific answer option",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "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"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer.extension:ordinalValue",
        "path": "QuestionnaireResponse.item.answer.extension",
        "sliceName": "ordinalValue",
        "short": "Assigned Ordinal Value",
        "definition": "A numeric value that allows the comparison (less than, greater than) or other numerical \nmanipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.",
        "comment": "Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](http://hl7.org/fhir/R4/questionnaire.html), \nso this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "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()",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.answer.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": "QuestionnaireResponse.item:rawRapid.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "date"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "dateTime"
          },
          {
            "code": "time"
          },
          {
            "code": "decimal"
          },
          {
            "code": "integer"
          },
          {
            "code": "string"
          },
          {
            "code": "Coding"
          },
          {
            "code": "uri"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Attachment"
          }
        ],
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item",
        "path": "QuestionnaireResponse.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.id",
        "path": "QuestionnaireResponse.item.item.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": "QuestionnaireResponse.item:rawRapid.item.extension",
        "path": "QuestionnaireResponse.item.item.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawRapid.item.modifierExtension",
        "path": "QuestionnaireResponse.item.item.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": "QuestionnaireResponse.item:rawRapid.item.linkId",
        "path": "QuestionnaireResponse.item.item.linkId",
        "short": "Pointer to specific item from Questionnaire",
        "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
        "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.linkId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.definition",
        "path": "QuestionnaireResponse.item.item.definition",
        "short": "ElementDefinition - details for the item",
        "definition": "A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.",
        "comment": "The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
        "requirements": "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.definition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.text",
        "path": "QuestionnaireResponse.item.item.text",
        "short": "Name for group or question text",
        "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.",
        "requirements": "Allows the questionnaire response to be read without access to the questionnaire.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.answer",
        "path": "QuestionnaireResponse.item.item.answer",
        "short": "The response(s) to the question",
        "definition": "The respondent's answer(s) to the question.",
        "comment": "The value is nested because we cannot have a repeating structure that has variable type.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".value[type=LIST_ANY]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.answer.id",
        "path": "QuestionnaireResponse.item.item.answer.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": "QuestionnaireResponse.item:rawRapid.item.answer.extension",
        "path": "QuestionnaireResponse.item.item.answer.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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": "QuestionnaireResponse.item:rawRapid.item.answer.modifierExtension",
        "path": "QuestionnaireResponse.item.item.answer.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": "QuestionnaireResponse.item:rawRapid.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.answer.value[x]",
        "short": "Single-valued answer to the question",
        "definition": "The answer (or one of the answers) provided by the respondent to the question.",
        "comment": "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
        "requirements": "Ability to retain a single-valued answer to a question.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "QuestionnaireResponse.item.answer.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "QuestionnaireAnswer"
            }
          ],
          "strength": "example",
          "description": "Code indicating the response provided for a question.",
          "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".item"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.answer.item",
        "path": "QuestionnaireResponse.item.item.answer.item",
        "short": "Nested groups and questions",
        "definition": "Nested groups and/or questions found within this particular answer.",
        "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "QuestionnaireResponse.item.answer.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.item",
        "path": "QuestionnaireResponse.item.item.item",
        "short": "Nested questionnaire response items",
        "definition": "Questions or sub-groups nested beneath a question or group.",
        "requirements": "Reports can consist of complex nested groups.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "QuestionnaireResponse.item.item",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "QuestionnaireResponse.identifier",
        "path": "QuestionnaireResponse.identifier",
        "short": "來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]",
        "definition": "原樣填入來源系統給這份登錄資料的識別碼。個管系統回覆填個管流水序號;EVT 登錄的主表與追蹤表回覆都填 EVT 登錄個案識別碼。RAPID 回覆或來源沒有識別碼時不填。"
      },
      {
        "id": "QuestionnaireResponse.identifier.system",
        "path": "QuestionnaireResponse.identifier.system",
        "short": "識別碼系統。[依來源填入固定的系統網址]",
        "definition": "個管流水序號與 EVT 登錄個案識別碼各用一個固定的系統網址。範例使用 http://www.vghks.gov.tw/stroke-case-management-serial(個管流水序號)與 http://www.vghks.gov.tw/evt-registry-id(EVT 登錄個案識別碼)。",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.identifier.value",
        "path": "QuestionnaireResponse.identifier.value",
        "short": "識別碼。[原樣填入來源序號]",
        "definition": "原樣填入來源序號並保留前置零。個管流水序號須搭配病歷號才能識別個案,subject 須指向對應的病人。",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.questionnaire",
        "path": "QuestionnaireResponse.questionnaire",
        "short": "所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]",
        "definition": "所有來源都使用同一份表單,固定填入 http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0。",
        "fixedCanonical": "http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0"
      },
      {
        "id": "QuestionnaireResponse.status",
        "path": "QuestionnaireResponse.status",
        "short": "表單狀態。[應填入 in-progress 或 completed]",
        "definition": "依來源的表單登錄狀態填寫:來源為 1(表單暫存)填 in-progress;來源為 2(已結案)且確認結案事實填 completed。來源空白、代碼無法辨識或來源沒有表單狀態(個管系統、RAPID)時填 in-progress,原始代碼保留在原始值群組。EVT 主表與追蹤表各自依登錄狀態填寫。資料若更正或作廢,改填 amended 或 entered-in-error。"
      },
      {
        "id": "QuestionnaireResponse.subject",
        "path": "QuestionnaireResponse.subject",
        "short": "病人。[應參照 StrokePatient]",
        "definition": "表單所屬的病人,必填,參照 StrokePatient。",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.encounter",
        "path": "QuestionnaireResponse.encounter",
        "short": "就醫事件。[應參照 StrokeEncounter]",
        "definition": "表單所屬的就醫事件,確定是同一次就醫時才填。",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.authored",
        "path": "QuestionnaireResponse.authored",
        "short": "資料登錄日期時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區;來源沒有登錄日期時改填 data-absent-reason]",
        "definition": "必填來源記錄的資料登錄日期與時間:直接填值,或以 data-absent-reason 擴充表示缺值。時區確認前只填日期(YYYY-MM-DD),時間原值以 StrokeEventTimeOnly 擴充附在 authored 上,並存於原始值群組(EVT 主表為 raw.evt.administration.keyinDate);確認後填完整日期時間並帶時區(例如 +08:00)。來源沒有登錄日期(例如個管系統、RAPID)時,authored 不填值,改以 data-absent-reason(unknown)表示。確認 EVT 的登錄日期時間是否適用追蹤表前,追蹤表的 authored 也以 data-absent-reason 表示。"
      },
      {
        "id": "QuestionnaireResponse.authored.extension",
        "path": "QuestionnaireResponse.authored.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "QuestionnaireResponse.authored.extension:dataAbsentReason",
        "path": "QuestionnaireResponse.authored.extension",
        "sliceName": "dataAbsentReason",
        "short": "登錄時間缺值原因。[來源沒有登錄日期時填 unknown]",
        "definition": "來源沒有登錄日期時使用,valueCode 填 unknown,此時 authored 不填值。若 authored 已填日期或完整日期時間,則不填本擴充。",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.author",
        "path": "QuestionnaireResponse.author",
        "short": "登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]",
        "definition": "填入登錄這份表單的人員或院所。只知道姓名時填 author.display 即可,不另建 Practitioner;不知道時不填。登錄經手人員另記錄於 StrokeProvenance。",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner",
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.source",
        "path": "QuestionnaireResponse.source",
        "short": "回答資料的提供者。[通常不填;若填,應參照 StrokePatient 或 StrokePractitioner]",
        "definition": "實際提供回答內容的人。登錄資料多摘錄自病歷,平時不填;明確由病人本人或特定醫事人員提供時才填。",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient",
              "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"
            ]
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item",
        "path": "QuestionnaireResponse.item",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "linkId"
            }
          ],
          "description": "依 linkId 區分正規化題目與原始值群組",
          "ordered": false,
          "rules": "open"
        },
        "short": "表單題目與回答",
        "definition": "題目與回答分兩類。正規化題目:下列各 Slice,linkId 固定,答案型別依各 Slice 規定;原始值群組:包含 raw.ncva(個管系統)、raw.evt(EVT 登錄)、raw.rapid(RAPID),均以字串保存來源原值。每份回覆只填該來源有的題目。所有 linkId 都必須存在於 stroke-registry 表單,並依表單順序排列。來源空白時略過該題;來源值無法辨識時(例如是否題出現 0、1 以外的值、選項題出現未定義代碼),不填正規化題目,只存於原始值群組。"
      },
      {
        "id": "QuestionnaireResponse.item:consent",
        "path": "QuestionnaireResponse.item",
        "sliceName": "consent",
        "short": "研究同意書簽署狀態。[適用 EVT 登錄主表]",
        "definition": "記錄病人是否已簽署研究同意書。只記錄簽署事實,不據此建立 Consent。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:consent.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "demographics.consent"
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "是否已簽署。[true=已簽署;false=無簽署]",
        "definition": "來源為 1(已簽署)填 true;0(無簽署)填 false。來源空白時略過本題;其他值只存於原始值群組。",
        "min": 1,
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consent.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:consent.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:consentDate",
        "path": "QuestionnaireResponse.item",
        "sliceName": "consentDate",
        "short": "研究同意書簽署日期。[適用 EVT 登錄主表]",
        "definition": "填入研究同意書簽署日期,只保存在表單。待取得實際同意文件與同意範圍後,才另建 Consent。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "demographics.consentDate"
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "簽署日期。[YYYY-MM-DD,西元年月日]",
        "definition": "西元年月日,格式為 YYYY-MM-DD。來源空白時略過本題;日期格式不正確時只存於原始值群組。",
        "min": 1,
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "date"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:consentDate.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:signDnr",
        "path": "QuestionnaireResponse.item",
        "sliceName": "signDnr",
        "short": "住院期間簽署 DNR。[適用個管系統]",
        "definition": "記錄住院期間是否簽署 DNR(不施行心肺復甦術)意願書。只記錄簽署註記,不據此建立醫囑或 Consent。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "inpatientTreatment.tre09"
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "是否簽署。[true=有;false=無]",
        "definition": "來源為 1(有)填 true;0(無)填 false。來源空白時略過本題;其他值只存於原始值群組。",
        "min": 1,
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
                "valueBoolean": true
              }
            ],
            "code": "boolean"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:signDnr.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa",
        "path": "QuestionnaireResponse.item",
        "sliceName": "beforeEvtIvtpa",
        "short": "EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]",
        "definition": "EVT 前是否施打 IV-tPA 及施打院所共有三種選項。選 1 或 2 且施打時間、劑量等資料齊全時,另以 StrokeMedicationAdministration 記錄給藥;選 3 則只保留在本題,不另建未給藥紀錄。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "preEvt.beforeEvtIvtpa"
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼:1|2|3]",
        "definition": "system 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/pre-evt-ivtpa-site。代碼可填 1(本院施打)、2(他院施打)、3(未施打)。來源空白請省略本題;其他代碼只保留在原始值群組。",
        "min": 1,
        "type": [
          {
            "code": "Coding"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site"
        }
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:beforeEvtIvtpa.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rapidRequestNo",
        "short": "RAPID 影像申請序號。[適用 RAPID]",
        "definition": "原樣保留 RAPID 影像分析資料的申請序號。在確認此序號是檢查的 accession number、醫令號或檢查項目碼之前,請勿寫入 ImagingStudy 或 ServiceRequest 的識別碼。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "rapid.rpreqno"
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "申請序號。[原樣填入]",
        "definition": "原樣填入並保留前置零。來源空白請省略本題。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rapidRequestNo.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "dischargeTransferHospital",
        "short": "離院轉入醫院。[適用 EVT 登錄主表]",
        "definition": "離院去向為轉院時填寫的轉入醫院名稱。院所主檔核定後,可另填入 StrokeEncounter 的 hospitalization.destination.display。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "discharge.leavePlaceHospital"
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:dischargeTransferHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "threeMonthHospital",
        "short": "中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]",
        "definition": "填寫中風後 3 個月追蹤時,病人所在的醫院名稱。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "followUp3Month.traceThreePlaceHospital"
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:threeMonthHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "followUpVisitHospital",
        "short": "追蹤回診醫院。[適用 EVT 登錄追蹤表]",
        "definition": "填寫追蹤期間病人繼續回診服藥的醫院名稱。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "followUpEvent.traceTreat1Hospital"
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:followUpVisitHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital",
        "path": "QuestionnaireResponse.item",
        "sliceName": "recurrentStrokeHospital",
        "short": "再中風就醫醫院。[適用 EVT 登錄追蹤表]",
        "definition": "填寫追蹤期間再中風時,病人就醫的醫院名稱。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "followUpEvent.traceTreat2StrokeHospital"
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "醫院名稱。[自由文字,原樣填入]",
        "definition": "原樣填入醫院名稱。來源空白請省略本題。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:recurrentStrokeHospital.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19",
        "path": "QuestionnaireResponse.item",
        "sliceName": "unresolvedComaScaleCol19",
        "short": "昏迷指數與生命徵象的額外欄位(第 19 欄)。[適用個管系統]",
        "definition": "記錄個管系統昏迷指數與生命徵象資料中,實際檔案比譯碼簿多出的一欄。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "unresolved.NCVA.COMASCALE.UNNAMED_COL_19"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "原始值。[原樣填入]",
        "definition": "完整填入原始字串。來源空白請省略本題。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedComaScaleCol19.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06",
        "path": "QuestionnaireResponse.item",
        "sliceName": "unresolvedMrsCol06",
        "short": "mRS 評估的額外欄位(第 6 欄)。[適用個管系統]",
        "definition": "個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第一欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "unresolved.NCVA.mRS.UNNAMED_COL_06"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "原始值。[原樣填入]",
        "definition": "完整填入原始字串,空白值不填。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol06.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07",
        "path": "QuestionnaireResponse.item",
        "sliceName": "unresolvedMrsCol07",
        "short": "mRS 評估的額外欄位(第 7 欄)。[適用個管系統]",
        "definition": "個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第二欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "unresolved.NCVA.mRS.UNNAMED_COL_07"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer",
        "path": "QuestionnaireResponse.item.answer",
        "min": 1
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]",
        "path": "QuestionnaireResponse.item.answer.value[x]",
        "short": "原始值。[原樣填入]",
        "definition": "完整填入原始字串,空白值不填。",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.answer.item",
        "path": "QuestionnaireResponse.item.answer.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:unresolvedMrsCol07.item",
        "path": "QuestionnaireResponse.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rawNcva",
        "short": "個管系統原始值。[linkId 固定為 raw.ncva]",
        "definition": "收納個管系統的來源原始值。下層請依個管系統邏輯模型(StrokeCaseManagementLM)元素排列:識別欄位與各欄位為字串題目,資料表為群組題目。linkId 為 `raw.ncva.<邏輯模型元素路徑>`,例如 raw.ncva.caseMain.occdate。NIHSS 與 mRS 評估每一列各建一個群組。所有值一律填入 valueString(包含代碼、日期、時間與數字);去除前後空白,其餘不改寫;空白欄位直接省略。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "raw.ncva"
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.answer",
        "path": "QuestionnaireResponse.item.answer",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item",
        "path": "QuestionnaireResponse.item.item",
        "min": 1,
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.answer.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item",
        "path": "QuestionnaireResponse.item.item.item",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.item.answer.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawNcva.item.item.item",
        "path": "QuestionnaireResponse.item.item.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rawEvt",
        "short": "EVT 登錄原始值。[linkId 固定為 raw.evt]",
        "definition": "收納 EVT 登錄的來源原始值。下層請依 EVT 登錄邏輯模型(StrokeEvtRegistryLM)元素排列:個案識別碼與各欄位為字串題目,欄位分組為群組題目。linkId 為 `raw.evt.<邏輯模型元素路徑>`,例如 raw.evt.demographics.consent。主表回覆放追蹤以外的欄位;追蹤表回覆放個案識別碼、追蹤表登錄狀態,以及 3 個月追蹤與追蹤醫療事件的欄位。值一律填入 valueString;去除前後空白,其餘不改寫;空白欄位直接省略。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "raw.evt"
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.answer",
        "path": "QuestionnaireResponse.item.answer",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item",
        "path": "QuestionnaireResponse.item.item",
        "min": 1,
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.answer.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item",
        "path": "QuestionnaireResponse.item.item.item",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.item.answer.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawEvt.item.item.item",
        "path": "QuestionnaireResponse.item.item.item.item",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid",
        "path": "QuestionnaireResponse.item",
        "sliceName": "rawRapid",
        "short": "RAPID 原始值。[linkId 固定為 raw.rapid]",
        "definition": "收納 RAPID 影像分析的來源原始值。下層請依 RAPID 邏輯模型(StrokeRapidLM)元素排列,每個欄位建一個字串題目,linkId 為 `raw.rapid.<邏輯模型元素路徑>`,例如 raw.rapid.scantype。值一律填入 valueString;去除前後空白,其餘不改寫,9999 等特殊值也照填;空白欄位直接省略。",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.linkId",
        "path": "QuestionnaireResponse.item.linkId",
        "fixedString": "raw.rapid"
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.answer",
        "path": "QuestionnaireResponse.item.answer",
        "max": "0"
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item",
        "path": "QuestionnaireResponse.item.item",
        "min": 1,
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.answer.value[x]",
        "path": "QuestionnaireResponse.item.item.answer.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "QuestionnaireResponse.item:rawRapid.item.item",
        "path": "QuestionnaireResponse.item.item.item",
        "max": "0"
      }
    ]
  }
}