Resource StructureDefinition/FHIR Server from package tw.gov.mohw.nhi.ci#current (4734 ms)

Resources that use this resource

CapabilityStatement
CapabilityStatementTWCIClient	臺灣重大傷病-用戶端(TWCI Client)
CapabilityStatementTWCIServer	臺灣重大傷病-伺服端(TWCI Server)
https://twcore.mohw.gov.tw/ig/ci/StructureDefinition/QuestionnaireResponse-twci	重大傷病申請書回覆-QuestionnaireResponse TWCI

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Narrative

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

Generated Narrative: StructureDefinition Questionnaire-twci

Name	Flags	Card.	Type	Description & Constraints
Questionnaire			Questionnaire
status		1..1	code	draft | active | retired | unknown Required Pattern: active
Slices for item	S	7..*	BackboneElement	Questions and sections within the Questionnaire Slice: Unordered, Closed by value:linkId
item:All Slices				Content/Rules for all slices
linkId		1..1	string	問卷題目編號
type		1..1	code	答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字
item:hosp	S	1..1	BackboneElement	Questions and sections within the Questionnaire
linkId		1..1	string	問卷題目編號 Required Pattern: 1
text		0..1	string	Primary text for the item Required Pattern: hosp|院所資訊
type		1..1	code	答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字 Required Pattern: group
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
Slices for item		5..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:applMode	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.1
text		0..1	string	Primary text for the item Required Pattern: hosp.applMode|申報方式
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-mode
item:applType	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.2
text		0..1	string	Primary text for the item Required Pattern: hosp.applType|申報類別
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-type
item:applDate	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.3
text		0..1	string	Primary text for the item Required Pattern: hosp.applDate|申請日期
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: date
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
item:medCertBookDate	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.4
text		0..1	string	Primary text for the item Required Pattern: hosp.medCertBookDate|開立診斷書申請日期
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: date
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
item:hospId	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.5
text		0..1	string	Primary text for the item Required Pattern: hosp.hospId|醫事機構代碼
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-organization
item:acptNo	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.6
text		0..1	string	Primary text for the item Required Pattern: hosp.acptNo|受理編號
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:acptNum	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 1.7
text		0..1	string	Primary text for the item Required Pattern: hosp.acptNum|受理次數
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: integer
item:patient	S	1..1	BackboneElement	Questions and sections within the Questionnaire
linkId		1..1	string	問卷題目編號 Required Pattern: 2
text		0..1	string	Primary text for the item Required Pattern: patient|病人資訊
type		1..1	code	答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字 Required Pattern: reference
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
answerOption
value[x]		1..1	Reference(Resource)	Answer value
item:doctor	S	1..1	BackboneElement	Questions and sections within the Questionnaire
linkId		1..1	string	問卷題目編號 Required Pattern: 3
text		0..1	string	Primary text for the item Required Pattern: doctor|醫師資訊
type		1..1	code	答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字 Required Pattern: group
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
Slices for item		1..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:diagPrsnId	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 3.1
text		0..1	string	Primary text for the item Required Pattern: doctor.diagPrsnId|醫師身分證號
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:diagPrsnName	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 3.2
text		0..1	string	Primary text for the item Required Pattern: doctor.diagPrsnName|診斷醫師姓名
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
item:diagnosis	S	1..1	BackboneElement	Questions and sections within the Questionnaire
linkId		1..1	string	問卷題目編號 Required Pattern: 4
text		0..1	string	Primary text for the item Required Pattern: diagnosis|疾病資訊
type		1..1	code	答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字 Required Pattern: group
Slices for item		1..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:icd10cmCode	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.1
text		0..1	string	Primary text for the item Required Pattern: diagnosis.icd10cmCode|主診斷代碼
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-diag-code-icd
item:examinationReport	S	0..*	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport|檢查報告
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: group
Slices for item		0..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:reportType	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2.1
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/loinc-report-type
item:speType	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2.2
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport.speType|檢體種類
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:reportResultString	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2.3
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport.reportResultString|報告結果-文數字
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:reportResultPdf	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2.4
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:reportResultPdfTitle	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2.5
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:reportDate	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.2.6
text		0..1	string	Primary text for the item Required Pattern: diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: date
item:medrec	S	0..*	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.3
text		0..1	string	Primary text for the item Required Pattern: diagnosis.medrec|病歷資料
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: group
repeats		0..1	boolean	Whether the item may repeat Required Pattern: true
Slices for item		0..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:medrec	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.3.1
text		0..1	string	Primary text for the item Required Pattern: diagnosis.medrec.medrec|病歷資料
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:medrecTitle	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.3.2
text		0..1	string	Primary text for the item Required Pattern: diagnosis.medrec.medrecTitle|病歷資料名稱
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:imageStudy	S	0..*	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy|影像報告
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: group
repeats		0..1	boolean	Whether the item may repeat Required Pattern: true
Slices for item		0..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:imgItem	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.1
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgItem|影像報告
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/icd-10-pcs-2023-image
item:imgResult	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.2
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgResult|影像報告結果
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:imgDate	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.3
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgDate|影像報告日期
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: date
item:imgBodySite	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.4
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgBodySite|影像檢查的身體部位
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/body-site
item:imgDicom	S	0..*	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.5
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgDicom|DICOM影像
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: group
repeats		0..1	boolean	Whether the item may repeat Required Pattern: true
Slices for item		2..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:studyUid	S	1..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.5.1
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:series	S	1..*	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 4.4.5.2
text		0..1	string	Primary text for the item Required Pattern: diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: group
repeats		0..1	boolean	Whether the item may repeat Required Pattern: true
Slices for item		3..*		Nested questionnaire items type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
required		0..1	boolean	Whether the item must be included in data results Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/cancer-stage
item:assessScore	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 6.2
text		0..1	string	Primary text for the item Required Pattern: cancerStage.assessScore|癌症分期分數或結果
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:assessDate	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 6.3
text		0..1	string	Primary text for the item Required Pattern: cancerStage.assessDate|癌症分期量表評估日期，YYYY-MM-DD，西元年月日，民國前為負數。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: date
item:illness	S	1..1	BackboneElement	Questions and sections within the Questionnaire
linkId		1..1	string	問卷題目編號 Required Pattern: 7
text		0..1	string	Primary text for the item Required Pattern: illness|惡性腫瘤重大傷病換發評估表
type		1..1	code	答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字 Required Pattern: group
Slices for item		0..*		Nested questionnaire items Slice: Unordered, Closed by value:linkId
item:oriCancerCode	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.1
text		0..1	string	Primary text for the item Required Pattern: illness.oriCancerCode|原發癌症診斷碼，最長為7碼。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-primary-cancer-icd
item:oriCancerDxDate	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.2
text		0..1	string	Primary text for the item Required Pattern: illness.oriCancerDxDate|癌症最初診斷日期，西元年月日；不得大於系統日。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: date
item:oriCancerAjcc	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.3
text		0..1	string	Primary text for the item Required Pattern: illness.oriCancerAjcc|癌症最初診斷AJCC分期(病理分期或未接受治療前的臨床分期)，依期別填入；若不是用此分類而用其他分類，則填寫9。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancerstaging
item:oriCancerAjcc1	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.4
text		0..1	string	Primary text for the item Required Pattern: illness.oriCancerAjcc1|癌症最初診斷AJCC分期_補充說明欄位，若前述欄位為9，則請於此欄位描述其他系統之其他分期為何。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
item:cancerStatus	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.5
text		0..1	string	Primary text for the item Required Pattern: illness.cancerStatus|目前癌症狀態
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancerstage-status
item:cancerTreatment	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.6
text		0..1	string	Primary text for the item Required Pattern: illness.cancerTreatment|後續治療評估，可複選。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
repeats		0..1	boolean	Whether the item may repeat Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancer-treatment
item:cancerTreatmentPlan	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.7
text		0..1	string	Primary text for the item Required Pattern: illness.cancerTreatmentPlan|後續治療計劃，可複選。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: choice
repeats		0..1	boolean	Whether the item may repeat Required Pattern: true
answerValueSet		0..1	canonical(ValueSet)	Valueset containing permitted answers Required Pattern: https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancer-treatment-plan
item:cancerTreatmentText	S	0..1	BackboneElement	Nested questionnaire items
linkId		1..1	string	Unique id for item in questionnaire Required Pattern: 7.8
text		0..1	string	Primary text for the item Required Pattern: illness.cancerTreatmentText|補充說明。
type		1..1	code	group | display | boolean | decimal | integer | date | dateTime + Required Pattern: string
Documentation for this format

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "Questionnaire-twci",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition Questionnaire-twci</b></p><a name=\"Questionnaire-twci\"> </a><a name=\"hcQuestionnaire-twci\"> </a><a name=\"Questionnaire-twci-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire\">Questionnaire</a><a name=\"Questionnaire\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/questionnaire.html\">Questionnaire</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.status\">status</a><a name=\"Questionnaire.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">draft | active | retired | unknown</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">active</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item\">Slices for item</a><a name=\"Questionnaire.item\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">7</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Questions and sections within the Questionnaire</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by value:linkId</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck033.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> item:All Slices<a name=\"Questionnaire.item.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0330.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item.linkId\">linkId</a><a name=\"Questionnaire.item.linkId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">問卷題目編號</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item.type\">type</a><a name=\"Questionnaire.item.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp\" title=\"Slice hosp\">item:hosp</a><a name=\"Questionnaire.item.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Questions and sections within the Questionnaire</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.linkId\">linkId</a><a name=\"Questionnaire.item.linkId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">問卷題目編號</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.text\">text</a><a name=\"Questionnaire.item.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp|院所資訊</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.type\">type</a><a name=\"Questionnaire.item.type.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">group</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.required\">required</a><a name=\"Questionnaire.item.required\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item\">Slices for item</a><a name=\"Questionnaire.item.item\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">5</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Nested questionnaire items</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by value:linkId</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applMode\" title=\"Slice applMode\">item:applMode</a><a name=\"Questionnaire.item.item.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applMode.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applMode.text\">text</a><a name=\"Questionnaire.item.item.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.applMode|申報方式</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applMode.type\">type</a><a name=\"Questionnaire.item.item.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">choice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applMode.required\">required</a><a name=\"Questionnaire.item.item.required\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applMode.answerValueSet\">answerValueSet</a><a name=\"Questionnaire.item.item.answerValueSet\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/valueset.html\">ValueSet</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Valueset containing permitted answers</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-mode</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applType\" title=\"Slice applType\">item:applType</a><a name=\"Questionnaire.item.item.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applType.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applType.text\">text</a><a name=\"Questionnaire.item.item.text.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.applType|申報類別</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applType.type\">type</a><a name=\"Questionnaire.item.item.type.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">choice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applType.required\">required</a><a name=\"Questionnaire.item.item.required.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applType.answerValueSet\">answerValueSet</a><a name=\"Questionnaire.item.item.answerValueSet.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/valueset.html\">ValueSet</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Valueset containing permitted answers</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-type</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applDate\" title=\"Slice applDate\">item:applDate</a><a name=\"Questionnaire.item.item.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applDate.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.3</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applDate.text\">text</a><a name=\"Questionnaire.item.item.text.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.applDate|申請日期</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applDate.type\">type</a><a name=\"Questionnaire.item.item.type.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">date</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:applDate.required\">required</a><a name=\"Questionnaire.item.item.required.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:medCertBookDate\" title=\"Slice medCertBookDate\">item:medCertBookDate</a><a name=\"Questionnaire.item.item.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:medCertBookDate.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.4</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:medCertBookDate.text\">text</a><a name=\"Questionnaire.item.item.text.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.medCertBookDate|開立診斷書申請日期</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:medCertBookDate.type\">type</a><a name=\"Questionnaire.item.item.type.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">date</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:medCertBookDate.required\">required</a><a name=\"Questionnaire.item.item.required.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:hospId\" title=\"Slice hospId\">item:hospId</a><a name=\"Questionnaire.item.item.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:hospId.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.5</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:hospId.text\">text</a><a name=\"Questionnaire.item.item.text.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.hospId|醫事機構代碼</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:hospId.type\">type</a><a name=\"Questionnaire.item.item.type.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">choice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:hospId.required\">required</a><a name=\"Questionnaire.item.item.required.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:hospId.answerValueSet\">answerValueSet</a><a name=\"Questionnaire.item.item.answerValueSet.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/valueset.html\">ValueSet</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Valueset containing permitted answers</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-organization</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNo\" title=\"Slice acptNo\">item:acptNo</a><a name=\"Questionnaire.item.item.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNo.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.6</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNo.text\">text</a><a name=\"Questionnaire.item.item.text.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.acptNo|受理編號</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNo.type\">type</a><a name=\"Questionnaire.item.item.type.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03425.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNum\" title=\"Slice acptNum\">item:acptNum</a><a name=\"Questionnaire.item.item.8\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNum.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">1.7</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNum.text\">text</a><a name=\"Questionnaire.item.item.text.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">hosp.acptNum|受理次數</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:hosp.item:acptNum.type\">type</a><a name=\"Questionnaire.item.item.type.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">integer</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient\" title=\"Slice patient\">item:patient</a><a name=\"Questionnaire.item.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Questions and sections within the Questionnaire</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient.linkId\">linkId</a><a name=\"Questionnaire.item.linkId.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">問卷題目編號</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient.text\">text</a><a name=\"Questionnaire.item.text.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">patient|病人資訊</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient.type\">type</a><a name=\"Questionnaire.item.type.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">reference</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient.required\">required</a><a name=\"Questionnaire.item.required.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0341.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient.answerOption\">answerOption</a><a name=\"Questionnaire.item.answerOption\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:patient.answerOption.value[x]\">value[x]</a><a name=\"Questionnaire.item.answerOption.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Answer value</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor\" title=\"Slice doctor\">item:doctor</a><a name=\"Questionnaire.item.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Questions and sections within the Questionnaire</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.linkId\">linkId</a><a name=\"Questionnaire.item.linkId.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">問卷題目編號</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">3</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.text\">text</a><a name=\"Questionnaire.item.text.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">doctor|醫師資訊</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.type\">type</a><a name=\"Questionnaire.item.type.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">group</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.required\">required</a><a name=\"Questionnaire.item.required.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item\">Slices for item</a><a name=\"Questionnaire.item.item.9\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Nested questionnaire items</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by value:linkId</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnId\" title=\"Slice diagPrsnId\">item:diagPrsnId</a><a name=\"Questionnaire.item.item.10\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnId.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.8\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">3.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnId.text\">text</a><a name=\"Questionnaire.item.item.text.8\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">doctor.diagPrsnId|醫師身分證號</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnId.type\">type</a><a name=\"Questionnaire.item.item.type.8\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03425.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnName\" title=\"Slice diagPrsnName\">item:diagPrsnName</a><a name=\"Questionnaire.item.item.11\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnName.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.9\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">3.2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnName.text\">text</a><a name=\"Questionnaire.item.item.text.9\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">doctor.diagPrsnName|診斷醫師姓名</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnName.type\">type</a><a name=\"Questionnaire.item.item.type.9\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:doctor.item:diagPrsnName.required\">required</a><a name=\"Questionnaire.item.item.required.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis\" title=\"Slice diagnosis\">item:diagnosis</a><a name=\"Questionnaire.item.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Questions and sections within the Questionnaire</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.linkId\">linkId</a><a name=\"Questionnaire.item.linkId.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">問卷題目編號</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.text\">text</a><a name=\"Questionnaire.item.text.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis|疾病資訊</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.type\">type</a><a name=\"Questionnaire.item.type.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">group</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item\">Slices for item</a><a name=\"Questionnaire.item.item.12\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Nested questionnaire items</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by value:linkId</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:icd10cmCode\" title=\"Slice icd10cmCode\">item:icd10cmCode</a><a name=\"Questionnaire.item.item.13\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:icd10cmCode.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.10\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:icd10cmCode.text\">text</a><a name=\"Questionnaire.item.item.text.10\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis.icd10cmCode|主診斷代碼</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:icd10cmCode.type\">type</a><a name=\"Questionnaire.item.item.type.10\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">choice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:icd10cmCode.required\">required</a><a name=\"Questionnaire.item.item.required.7\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item must be included in data results</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:icd10cmCode.answerValueSet\">answerValueSet</a><a name=\"Questionnaire.item.item.answerValueSet.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/valueset.html\">ValueSet</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Valueset containing permitted answers</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-diag-code-icd</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport\" title=\"Slice examinationReport\">item:examinationReport</a><a name=\"Questionnaire.item.item.14\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.11\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4.2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.text\">text</a><a name=\"Questionnaire.item.item.text.11\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis.examinationReport|檢查報告</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.type\">type</a><a name=\"Questionnaire.item.item.type.11\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">group</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034343.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item\">Slices for item</a><a name=\"Questionnaire.item.item.item\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Nested questionnaire items</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by value:linkId</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportType\" title=\"Slice reportType\">item:reportType</a><a name=\"Questionnaire.item.item.item.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportType.linkId\">linkId</a><a name=\"Questionnaire.item.item.item.linkId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4.2.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportType.text\">text</a><a name=\"Questionnaire.item.item.item.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportType.type\">type</a><a name=\"Questionnaire.item.item.item.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">choice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerValueSet\">answerValueSet</a><a name=\"Questionnaire.item.item.item.answerValueSet\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/valueset.html\">ValueSet</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Valueset containing permitted answers</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twcore.mohw.gov.tw/ig/ci/ValueSet/loinc-report-type</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:speType\" title=\"Slice speType\">item:speType</a><a name=\"Questionnaire.item.item.item.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:speType.linkId\">linkId</a><a name=\"Questionnaire.item.item.item.linkId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4.2.2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:speType.text\">text</a><a name=\"Questionnaire.item.item.item.text.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis.examinationReport.speType|檢體種類</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:speType.type\">type</a><a name=\"Questionnaire.item.item.item.type.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString\" title=\"Slice reportResultString\">item:reportResultString</a><a name=\"Questionnaire.item.item.item.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.linkId\">linkId</a><a name=\"Questionnaire.item.item.item.linkId.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4.2.3</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.text\">text</a><a name=\"Questionnaire.item.item.item.text.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis.examinationReport.reportResultString|報告結果-文數字</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.type\">type</a><a name=\"Questionnaire.item.item.item.type.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf\" title=\"Slice reportResultPdf\">item:reportResultPdf</a><a name=\"Questionnaire.item.item.item.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.linkId\">linkId</a><a name=\"Questionnaire.item.item.item.linkId.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">4.2.4</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.text\">text</a><a name=\"Questionnaire.item.item.item.text.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.type\">type</a><a name=\"Questionnaire.item.item.item.type.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle\" title=\"Slice reportResultPdfTitle\">item:reportResultPdfTitle</a><a name=\"Questionnaire.item.item.item.6\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03434350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.linkId\">linkId</a><a name=\"Questionnaire.item.item.item.linkId.5\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F\" title=\"Slice imgBodySite\">item:imgBodySite</a><a name=\"Questionnaire.item.item.item.15\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03424350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" an: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Whether the item may repeat</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">true</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03424243.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item\">Slices for item</a><a name=\"Questionnaire.item.item.item.item.4\"> </a></td><td style=\"veound-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:oriCancerAjcc1.text\">text</a><a name=\"Questionnaire.item.item.text.20\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">illness.oriCancerAjcc1|癌症最初診斷AJCC分期_補充說明欄位，若前述欄位為9，則請於此欄位描述其他系統之其他分期為何。</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:oriCancerAjcc1.type\">type</a><a name=\"Questionnaire.item.item.type.20\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">string</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerStatus\" title=\"Slice cancerStatus\">item:cancerStatus</a><a name=\"Questionnaire.item.item.26\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerStatus.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.21\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">7.5</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerStatus.text\">text</a><a name=\"Questionnaire.item.item.text.21\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">illness.cancerStatus|目前癌症狀態</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerStatus.type\">type</a><a name=\"Questionnaire.item.item.type.21\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">group | display | boolean | decimal | integer | date | dateTime +</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">choice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerStatus.answerValueSet\">answerValueSet</a><a name=\"Questionnaire.item.item.answerValueSet.8\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/valueset.html\">ValueSet</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Valueset containing permitted answers</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancerstage-status</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02435.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerTreatment\" title=\"Slice cancerTreatment\">item:cancerTreatment</a><a name=\"Questionnaire.item.item.27\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nested questionnaire items</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerTreatment.linkId\">linkId</a><a name=\"Questionnaire.item.item.linkId.22\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unique id for item in questionnaire</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">7.6</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Questionnaire-twci-definitions.html#Questionnaire.item:illness.item:cancerTreatment.text\">text</a><a name=\"Questionnaire.item.item.text.22\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Primary text for the item</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">illness.cancerTreatment|後續治療評估，可複選。</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\&qu(ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.code",
        "path" : "Questionnaire.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.prefix",
        "path" : "Questionnaire.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.text",
        "path" : "Questionnaire.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item.type",
        "path" : "Questionnaire.item.type",
        "short" : "答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.enableWhen",
        "path" : "Questionnaire.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.enableWhen.id",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item.enableWhen.extension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item.enableWhen.question",
        "path" : "Questionnaire.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.enableWhen.operator",
        "path" : "Questionnaire.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.enableBehavior",
        "path" : "Questionnaire.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.required",
        "path" : "Questionnaire.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.repeats",
        "path" : "Questionnaire.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.readOnly",
        "path" : "Questionnaire.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.maxLength",
        "path" : "Questionnaire.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.answerValueSet",
        "path" : "Questionnaire.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.answerOption",
        "path" : "Questionnaire.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.answerOption.id",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item.answerOption.extension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item.answerOption.value[x]",
        "path" : "Questionnaire.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.initial",
        "path" : "Questionnaire.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.initial.id",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item.initial.extension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item.initial.modifierExtension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item.initial.value[x]",
        "path" : "Questionnaire.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item.item",
        "path" : "Questionnaire.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp",
        "path" : "Questionnaire.item",
        "sliceName" : "hosp",
        "short" : "Questions and sections within the Questionnaire",
        "definition" : "A particular question, question grouping or display text that is part of the questionnaire.",
        "comment" : "The content of the questionnaire is constructed from an ordered, hierarchical collection of items.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-4",
            "severity" : "error",
            "human" : "A question cannot have both answerOption and answerValueSet",
            "expression" : "answerOption.empty() or answerValueSet.empty()",
            "xpath" : "not(f:answerValueSet and f:answerOption)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-5",
            "severity" : "error",
            "human" : "Only 'choice' and 'open-choice' items can have answerValueSet",
            "expression" : "(type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())",
            "xpath" : "f:type/@value=('choice','open-choice','decimal','integer','date','dateTime','time','string','quantity',') or not(f:answerOption or f:answerValueSet)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-6",
            "severity" : "error",
            "human" : "Required and repeat aren't permitted for display items",
            "expression" : "type!='display' or (required.empty() and repeats.empty())",
            "xpath" : "not(f:type/@value='display' and (f:required or f:repeats))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-8",
            "severity" : "error",
            "human" : "Initial values can't be specified for groups or display items",
            "expression" : "(type!='group' and type!='display') or initial.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-9",
            "severity" : "error",
            "human" : "Read-only can't be specified for \"display\" items",
            "expression" : "type!='display' or readOnly.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-10",
            "severity" : "error",
            "human" : "Maximum length can only be declared for simple question types",
            "expression" : "(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty()",
            "xpath" : "f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-11",
            "severity" : "error",
            "human" : "If one or more answerOption is present, initial[x] must be missing",
            "expression" : "answerOption.empty() or initial.empty()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-12",
            "severity" : "error",
            "human" : "If there are more than one enableWhen, enableBehavior must be specified",
            "expression" : "enableWhen.count() > 2 implies enableBehavior.exists()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-13",
            "severity" : "error",
            "human" : "Can only have multiple initial values for repeating items",
            "expression" : "repeats=true or initial.count() <= 1",
            "xpath" : "f:repeats/@value='true' or count(f:initial)<=1",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.linkId",
        "path" : "Questionnaire.item.linkId",
        "short" : "問卷題目編號",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.definition",
        "path" : "Questionnaire.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.code",
        "path" : "Questionnaire.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.prefix",
        "path" : "Questionnaire.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.text",
        "path" : "Questionnaire.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "hosp|院所資訊",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:hosp.type",
        "path" : "Questionnaire.item.type",
        "short" : "答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.enableWhen",
        "path" : "Questionnaire.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.enableWhen.id",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:hosp.enableWhen.extension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:hosp.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:hosp.enableWhen.question",
        "path" : "Questionnaire.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.enableWhen.operator",
        "path" : "Questionnaire.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.enableWhen.answer[x]",
        "path" : "Questionnaire.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.enableBehavior",
        "path" : "Questionnaire.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.required",
        "path" : "Questionnaire.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.repeats",
        "path" : "Questionnaire.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.readOnly",
        "path" : "Questionnaire.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.maxLength",
        "path" : "Questionnaire.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.answerValueSet",
        "path" : "Questionnaire.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.answerOption",
        "path" : "Questionnaire.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.answerOption.id",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:hosp.answerOption.extension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:hosp.answerOption.modifierExtension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:hosp.answerOption.value[x]",
        "path" : "Questionnaire.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.answerOption.initialSelected",
        "path" : "Questionnaire.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.initial",
        "path" : "Questionnaire.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.initial.id",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:hosp.initial.extension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:hosp.initial.modifierExtension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:hosp.initial.value[x]",
        "path" : "Questionnaire.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item",
        "path" : "Questionnaire.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 5,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode",
        "path" : "Questionnaire.item.item",
        "sliceName" : "applMode",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applMode.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applMode.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applMode.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "1.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "hosp.applMode|申報方式",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:hosp.item:applMode.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applMode.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applMode.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applMode.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-mode",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applMode.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applMode.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applMode.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item:applMode.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item:applMode.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item:applMode.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType",
        "path" : "Questionnaire.item.item",
        "sliceName" : "applType",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applType.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applType.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applType.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "1.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "hosp.applType|申報類別",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:hosp.item:applType.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applType.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applType.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applType.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-type",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applType.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applType.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applType.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item:applType.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item:applType.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:hosp.item:applType.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate",
        "path" : "Questionnaire.item.item",
        "sliceName" : "applDate",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applDate.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applDate.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:hosp.item:applDate.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "1.3",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "hosp.applDate|申請日期",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:hosp.item:applDate.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applDate.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applDate.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:hosp.item:applDate.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applDate.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applDate.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:hosp.item:applDate.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
       &Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
          {
            "key" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)",
            r 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",
          &     "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item",
        "path" : "Questionnaire.item.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "reportType",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.2.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/loinc-report-type",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportType.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "speType",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.2.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.examinationReport.speType|檢體種類",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:speType.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "reportResultString",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.2.3",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.examinationReport.reportResultString|報告結果-文數字",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultString.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "reportResultPdf",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.2.4",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdf.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "reportResultPdfTitle",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.2.5",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportResultPdfTitle.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "reportDate",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.2.6",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:examinationReport.item:reportDate.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec",
        "path" : "Questionnaire.item.item",
        "sliceName" : "medrec",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.3",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.medrec|病歷資料",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:medrec.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item",
        "path" : "Questionnaire.item.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "medrec",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.3.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.medrec.medrec|病歷資料",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrec.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "medrecTitle",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.3.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.medrec.medrecTitle|病歷資料名稱",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:medrec.item:medrecTitle.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy",
        "path" : "Questionnaire.item.item",
        "sliceName" : "imageStudy",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy|影像報告",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item",
        "path" : "Questionnaire.item.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "imgItem",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgItem|影像報告",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/icd-10-pcs-2023-image",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgItem.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "imgResult",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgResult|影像報告結果",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgResult.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "imgDate",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.3",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgDate|影像報告日期",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDate.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "imgBodySite",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.4",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgBodySite|影像檢查的身體部位",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/body-site",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgBodySite.item",
        "path" : "Questionnaire.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom",
        "path" : "Questionnaire.item.item.item",
        "sliceName" : "imgDicom",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.linkId",
        "path" : "Questionnaire.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.5",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.definition",
        "path" : "Questionnaire.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.code",
        "path" : "Questionnaire.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.prefix",
        "path" : "Questionnaire.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.text",
        "path" : "Questionnaire.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgDicom|DICOM影像",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.type",
        "path" : "Questionnaire.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen",
        "path" : "Questionnaire.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen.id",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen.question",
        "path" : "Questionnaire.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.enableBehavior",
        "path" : "Questionnaire.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.required",
        "path" : "Questionnaire.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.repeats",
        "path" : "Questionnaire.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.readOnly",
        "path" : "Questionnaire.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.maxLength",
        "path" : "Questionnaire.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerValueSet",
        "path" : "Questionnaire.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerOption",
        "path" : "Questionnaire.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerOption.id",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerOption.extension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.initial",
        "path" : "Questionnaire.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.initial.id",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.initial.extension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.initial.value[x]",
        "path" : "Questionnaire.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item",
        "path" : "Questionnaire.item.item.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 2,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.id",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.extension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.modifierExtension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.linkId",
        "path" : "Questionnaire.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.definition",
        "path" : "Questionnaire.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.code",
        "path" : "Questionnaire.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.prefix",
        "path" : "Questionnaire.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.text",
        "path" : "Questionnaire.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.type",
        "path" : "Questionnaire.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen",
        "path" : "Questionnaire.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.required",
        "path" : "Questionnaire.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.repeats",
        "path" : "Questionnaire.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.readOnly",
        "path" : "Questionnaire.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.maxLength",
        "path" : "Questionnaire.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerOption",
        "path" : "Questionnaire.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.initial",
        "path" : "Questionnaire.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.initial.id",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.initial.extension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item.item",
        "path" : "Questionnaire.item.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid",
        "path" : "Questionnaire.item.item.item.item",
        "sliceName" : "studyUid",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.id",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.extension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.modifierExtension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.linkId",
        "path" : "Questionnaire.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.5.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.definition",
        "path" : "Questionnaire.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.code",
        "path" : "Questionnaire.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.prefix",
        "path" : "Questionnaire.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.text",
        "path" : "Questionnaire.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.type",
        "path" : "Questionnaire.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen",
        "path" : "Questionnaire.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.required",
        "path" : "Questionnaire.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.repeats",
        "path" : "Questionnaire.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.readOnly",
        "path" : "Questionnaire.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.maxLength",
        "path" : "Questionnaire.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerOption",
        "path" : "Questionnaire.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.initial",
        "path" : "Questionnaire.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.initial.id",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.initial.extension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:studyUid.item",
        "path" : "Questionnaire.item.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series",
        "path" : "Questionnaire.item.item.item.item",
        "sliceName" : "series",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.id",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.extension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.modifierExtension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.linkId",
        "path" : "Questionnaire.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.5.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.definition",
        "path" : "Questionnaire.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.code",
        "path" : "Questionnaire.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.prefix",
        "path" : "Questionnaire.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.text",
        "path" : "Questionnaire.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.type",
        "path" : "Questionnaire.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen",
        "path" : "Questionnaire.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.required",
        "path" : "Questionnaire.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.repeats",
        "path" : "Questionnaire.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.readOnly",
        "path" : "Questionnaire.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.maxLength",
        "path" : "Questionnaire.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerOption",
        "path" : "Questionnaire.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.initial",
        "path" : "Questionnaire.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.initial.id",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.initial.extension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item",
        "path" : "Questionnaire.item.item.item.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 3,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.id",
        "path" : "Questionnaire.item.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.extension",
        "path" : "Questionnaire.item.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.modifierExtension",
        "path" : "Questionnaire.item.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.linkId",
        "path" : "Questionnaire.item.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.definition",
        "path" : "Questionnaire.item.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.code",
        "path" : "Questionnaire.item.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.prefix",
        "path" : "Questionnaire.item.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.text",
        "path" : "Questionnaire.item.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.type",
        "path" : "Questionnaire.item.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.required",
        "path" : "Questionnaire.item.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.repeats",
        "path" : "Questionnaire.item.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.readOnly",
        "path" : "Questionnaire.item.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.maxLength",
        "path" : "Questionnaire.item.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerOption",
        "path" : "Questionnaire.item.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.initial",
        "path" : "Questionnaire.item.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.initial.id",
        "path" : "Questionnaire.item.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.initial.extension",
        "path" : "Questionnaire.item.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item.item",
        "path" : "Questionnaire.item.item.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid",
        "path" : "Questionnaire.item.item.item.item.item",
        "sliceName" : "uid",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.id",
        "path" : "Questionnaire.item.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.extension",
        "path" : "Questionnaire.item.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.modifierExtension",
        "path" : "Questionnaire.item.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.linkId",
        "path" : "Questionnaire.item.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.5.2.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.definition",
        "path" : "Questionnaire.item.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.code",
        "path" : "Questionnaire.item.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.prefix",
        "path" : "Questionnaire.item.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.text",
        "path" : "Questionnaire.item.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgDicom.series.uid|此系列的DICOM系列實例UID",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.type",
        "path" : "Questionnaire.item.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.required",
        "path" : "Questionnaire.item.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.repeats",
        "path" : "Questionnaire.item.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.readOnly",
        "path" : "Questionnaire.item.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.maxLength",
        "path" : "Questionnaire.item.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerOption",
        "path" : "Questionnaire.item.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.initial",
        "path" : "Questionnaire.item.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.initial.id",
        "path" : "Questionnaire.item.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgDicom.item:series.item:uid.initial.extension",
        "path" : "Questionnaire.item.item.item.item.item.initial.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&quoalias" : [
          "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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.initial",
        "path" : "Questionnaire.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.initial.id",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.initial.extension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item.item",
        "path" : "Questionnaire.item.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom",
        "path" : "Questionnaire.item.item.item.item",
        "sliceName" : "imgNonDicom",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.id",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.extension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.modifierExtension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.linkId",
        "path" : "Questionnaire.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.6.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.definition",
        "path" : "Questionnaire.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.code",
        "path" : "Questionnaire.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.prefix",
        "path" : "Questionnaire.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.text",
        "path" : "Questionnaire.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgNonDicom.imgNonDicom|非DICOM影像",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.type",
        "path" : "Questionnaire.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen",
        "path" : "Questionnaire.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.required",
        "path" : "Questionnaire.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.repeats",
        "path" : "Questionnaire.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.readOnly",
        "path" : "Questionnaire.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.maxLength",
        "path" : "Questionnaire.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerOption",
        "path" : "Questionnaire.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.initial",
        "path" : "Questionnaire.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.initial.id",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.initial.extension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicom.item",
        "path" : "Questionnaire.item.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType",
        "path" : "Questionnaire.item.item.item.item",
        "sliceName" : "imgNonDicomMimeType",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.id",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.extension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.modifierExtension",
        "path" : "Questionnaire.item.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.linkId",
        "path" : "Questionnaire.item.item.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "4.4.6.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.definition",
        "path" : "Questionnaire.item.item.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.code",
        "path" : "Questionnaire.item.item.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.prefix",
        "path" : "Questionnaire.item.item.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.text",
        "path" : "Questionnaire.item.item.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "diagnosis.imageStudy.imgNonDicom.imgNonDicomMimeType|非DICOM影像MimeType",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.type",
        "path" : "Questionnaire.item.item.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen",
        "path" : "Questionnaire.item.item.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen.id",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen.extension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.enableWhen.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen.question",
        "path" : "Questionnaire.item.item.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen.operator",
        "path" : "Questionnaire.item.item.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.enableBehavior",
        "path" : "Questionnaire.item.item.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.required",
        "path" : "Questionnaire.item.item.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.repeats",
        "path" : "Questionnaire.item.item.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.readOnly",
        "path" : "Questionnaire.item.item.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.maxLength",
        "path" : "Questionnaire.item.item.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerValueSet",
        "path" : "Questionnaire.item.item.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/media-mimetypes",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerOption",
        "path" : "Questionnaire.item.item.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerOption.id",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerOption.extension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.answerOption.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerOption.value[x]",
        "path" : "Questionnaire.item.item.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.initial",
        "path" : "Questionnaire.item.item.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.initial.id",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.initial.extension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.initial.modifierExtension",
        "path" : "Questionnaire.item.item.item.item.initial.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" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.initial.value[x]",
        "path" : "Questionnaire.item.item.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:diagnosis.item:imageStudy.item:imgNonDicom.item:imgNonDicomMimeType.item",
        "path" : "Questionnaire.item.item.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci",
        "path" : "Questionnaire.item",
        "sliceName" : "ci",
        "short" : "Questions and sections within the Questionnaire",
        "definition" : "A particular question, question grouping or display text that is part of the questionnaire.",
        "comment" : "The content of the questionnaire is constructed from an ordered, hierarchical collection of items.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-4",
            "severity" : "error",
            "human" : "A question cannot have both answerOption and answerValueSet",
            "expression" : "answerOption.empty() or answerValueSet.empty()",
            "xpath" : "not(f:answerValueSet and f:answerOption)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-5",
            "severity" : "error",
            "human" : "Only 'choice' and 'open-choice' items can have answerValueSet",
            "expression" : "(type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())",
            "xpath" : "f:type/@value=('choice','open-choice','decimal','integer','date','dateTime','time','string','quantity',') or not(f:answerOption or f:answerValueSet)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-6",
            "severity" : "error",
            "human" : "Required and repeat aren't permitted for display items",
            "expression" : "type!='display' or (required.empty() and repeats.empty())",
            "xpath" : "not(f:type/@value='display' and (f:required or f:repeats))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-8",
            "severity" : "error",
            "human" : "Initial values can't be specified for groups or display items",
            "expression" : "(type!='group' and type!='display') or initial.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-9",
            "severity" : "error",
            "human" : "Read-only can't be specified for \"display\" items",
            "expression" : "type!='display' or readOnly.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-10",
            "severity" : "error",
            "human" : "Maximum length can only be declared for simple question types",
            "expression" : "(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty()",
            "xpath" : "f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-11",
            "severity" : "error",
            "human" : "If one or more answerOption is present, initial[x] must be missing",
            "expression" : "answerOption.empty() or initial.empty()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-12",
            "severity" : "error",
            "human" : "If there are more than one enableWhen, enableBehavior must be specified",
            "expression" : "enableWhen.count() > 2 implies enableBehavior.exists()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-13",
            "severity" : "error",
            "human" : "Can only have multiple initial values for repeating items",
            "expression" : "repeats=true or initial.count() <= 1",
            "xpath" : "f:repeats/@value='true' or count(f:initial)<=1",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:ci.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:ci.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:ci.linkId",
        "path" : "Questionnaire.item.linkId",
        "short" : "問卷題目編號",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "5",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.definition",
        "path" : "Questionnaire.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.code",
        "path" : "Questionnaire.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.prefix",
        "path" : "Questionnaire.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.text",
        "path" : "Questionnaire.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "ci|重大傷病",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:ci.type",
        "path" : "Questionnaire.item.type",
        "short" : "答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "reference",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.enableWhen",
        "path" : "Questionnaire.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.enableWhen.id",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:ci.enableWhen.extension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:ci.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:ci.enableWhen.question",
        "path" : "Questionnaire.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.enableWhen.operator",
        "path" : "Questionnaire.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.enableWhen.answer[x]",
        "path" : "Questionnaire.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.enableBehavior",
        "path" : "Questionnaire.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.required",
        "path" : "Questionnaire.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.repeats",
        "path" : "Questionnaire.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.readOnly",
        "path" : "Questionnaire.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.maxLength",
        "path" : "Questionnaire.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.answerValueSet",
        "path" : "Questionnaire.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.answerOption",
        "path" : "Questionnaire.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.answerOption.id",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:ci.answerOption.extension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:ci.answerOption.modifierExtension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:ci.answerOption.value[x]",
        "path" : "Questionnaire.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.answerOption.initialSelected",
        "path" : "Questionnaire.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.initial",
        "path" : "Questionnaire.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.initial.id",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:ci.initial.extension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:ci.initial.modifierExtension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:ci.initial.value[x]",
        "path" : "Questionnaire.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:ci.item",
        "path" : "Questionnaire.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage",
        "path" : "Questionnaire.item",
        "sliceName" : "cancerStage",
        "short" : "Questions and sections within the Questionnaire",
        "definition" : "A particular question, question grouping or display text that is part of the questionnaire.",
        "comment" : "The content of the questionnaire is constructed from an ordered, hierarchical collection of items.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-4",
            "severity" : "error",
            "human" : "A question cannot have both answerOption and answerValueSet",
            "expression" : "answerOption.empty() or answerValueSet.empty()",
            "xpath" : "not(f:answerValueSet and f:answerOption)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-5",
            "severity" : "error",
            "human" : "Only 'choice' and 'open-choice' items can have answerValueSet",
            "expression" : "(type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())",
            "xpath" : "f:type/@value=('choice','open-choice','decimal','integer','date','dateTime','time','string','quantity',') or not(f:answerOption or f:answerValueSet)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-6",
            "severity" : "error",
            "human" : "Required and repeat aren't permitted for display items",
            "expression" : "type!='display' or (required.empty() and repeats.empty())",
            "xpath" : "not(f:type/@value='display' and (f:required or f:repeats))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-8",
            "severity" : "error",
            "human" : "Initial values can't be specified for groups or display items",
            "expression" : "(type!='group' and type!='display') or initial.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-9",
            "severity" : "error",
            "human" : "Read-only can't be specified for \"display\" items",
            "expression" : "type!='display' or readOnly.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-10",
            "severity" : "error",
            "human" : "Maximum length can only be declared for simple question types",
            "expression" : "(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty()",
            "xpath" : "f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-11",
            "severity" : "error",
            "human" : "If one or more answerOption is present, initial[x] must be missing",
            "expression" : "answerOption.empty() or initial.empty()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-12",
            "severity" : "error",
            "human" : "If there are more than one enableWhen, enableBehavior must be specified",
            "expression" : "enableWhen.count() > 2 implies enableBehavior.exists()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-13",
            "severity" : "error",
            "human" : "Can only have multiple initial values for repeating items",
            "expression" : "repeats=true or initial.count() <= 1",
            "xpath" : "f:repeats/@value='true' or count(f:initial)<=1",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.linkId",
        "path" : "Questionnaire.item.linkId",
        "short" : "問卷題目編號",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "6",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.definition",
        "path" : "Questionnaire.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.code",
        "path" : "Questionnaire.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.prefix",
        "path" : "Questionnaire.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.text",
        "path" : "Questionnaire.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "cancerStage|癌症期別",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:cancerStage.type",
        "path" : "Questionnaire.item.type",
        "short" : "答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.enableWhen",
        "path" : "Questionnaire.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.enableWhen.id",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:cancerStage.enableWhen.extension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:cancerStage.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:cancerStage.enableWhen.question",
        "path" : "Questionnaire.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.enableWhen.operator",
        "path" : "Questionnaire.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.enableWhen.answer[x]",
        "path" : "Questionnaire.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.enableBehavior",
        "path" : "Questionnaire.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.required",
        "path" : "Questionnaire.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.repeats",
        "path" : "Questionnaire.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.readOnly",
        "path" : "Questionnaire.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.maxLength",
        "path" : "Questionnaire.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.answerValueSet",
        "path" : "Questionnaire.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.answerOption",
        "path" : "Questionnaire.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.answerOption.id",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:cancerStage.answerOption.extension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:cancerStage.answerOption.modifierExtension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:cancerStage.answerOption.value[x]",
        "path" : "Questionnaire.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.answerOption.initialSelected",
        "path" : "Questionnaire.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.initial",
        "path" : "Questionnaire.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.initial.id",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:cancerStage.initial.extension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:cancerStage.initial.modifierExtension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:cancerStage.initial.value[x]",
        "path" : "Questionnaire.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item",
        "path" : "Questionnaire.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage",
        "path" : "Questionnaire.item.item",
        "sliceName" : "cancerStage",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:cancerStage.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:cancerStage.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:cancerStage.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "6.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "cancerStage.cancerStage|癌症期別，醫院自行填入癌症期別(1~4)，若為不適用者填9(不適用)。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:cancerStage.item:cancerStage.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/cancer-stage",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:cancerStage.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:cancerStage.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:cancerStage.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:cancerStage.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:cancerStage.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:cancerStage.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:cancerStage.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore",
        "path" : "Questionnaire.item.item",
        "sliceName" : "assessScore",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:assessScore.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:assessScore.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:assessScore.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "6.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "cancerStage.assessScore|癌症分期分數或結果",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:cancerStage.item:assessScore.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:assessScore.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:assessScore.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:assessScore.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:assessScore.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:assessScore.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:assessScore.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessScore.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate",
        "path" : "Questionnaire.item.item",
        "sliceName" : "assessDate",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:assessDate.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:assessDate.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:cancerStage.item:assessDate.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "6.3",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "cancerStage.assessDate|癌症分期量表評估日期，YYYY-MM-DD，西元年月日，民國前為負數。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:cancerStage.item:assessDate.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:assessDate.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:assessDate.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:cancerStage.item:assessDate.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:assessDate.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:assessDate.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:cancerStage.item:assessDate.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:cancerStage.item:assessDate.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness",
        "path" : "Questionnaire.item",
        "sliceName" : "illness",
        "short" : "Questions and sections within the Questionnaire",
        "definition" : "A particular question, question grouping or display text that is part of the questionnaire.",
        "comment" : "The content of the questionnaire is constructed from an ordered, hierarchical collection of items.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-4",
            "severity" : "error",
            "human" : "A question cannot have both answerOption and answerValueSet",
            "expression" : "answerOption.empty() or answerValueSet.empty()",
            "xpath" : "not(f:answerValueSet and f:answerOption)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-5",
            "severity" : "error",
            "human" : "Only 'choice' and 'open-choice' items can have answerValueSet",
            "expression" : "(type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())",
            "xpath" : "f:type/@value=('choice','open-choice','decimal','integer','date','dateTime','time','string','quantity',') or not(f:answerOption or f:answerValueSet)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-6",
            "severity" : "error",
            "human" : "Required and repeat aren't permitted for display items",
            "expression" : "type!='display' or (required.empty() and repeats.empty())",
            "xpath" : "not(f:type/@value='display' and (f:required or f:repeats))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-8",
            "severity" : "error",
            "human" : "Initial values can't be specified for groups or display items",
            "expression" : "(type!='group' and type!='display') or initial.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-9",
            "severity" : "error",
            "human" : "Read-only can't be specified for \"display\" items",
            "expression" : "type!='display' or readOnly.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-10",
            "severity" : "error",
            "human" : "Maximum length can only be declared for simple question types",
            "expression" : "(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty()",
            "xpath" : "f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-11",
            "severity" : "error",
            "human" : "If one or more answerOption is present, initial[x] must be missing",
            "expression" : "answerOption.empty() or initial.empty()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-12",
            "severity" : "error",
            "human" : "If there are more than one enableWhen, enableBehavior must be specified",
            "expression" : "enableWhen.count() > 2 implies enableBehavior.exists()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          },
          {
            "key" : "que-13",
            "severity" : "error",
            "human" : "Can only have multiple initial values for repeating items",
            "expression" : "repeats=true or initial.count() <= 1",
            "xpath" : "f:repeats/@value='true' or count(f:initial)<=1",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.linkId",
        "path" : "Questionnaire.item.linkId",
        "short" : "問卷題目編號",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.definition",
        "path" : "Questionnaire.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.code",
        "path" : "Questionnaire.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.prefix",
        "path" : "Questionnaire.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.text",
        "path" : "Questionnaire.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness|惡性腫瘤重大傷病換發評估表",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.type",
        "path" : "Questionnaire.item.type",
        "short" : "答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "group",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.enableWhen",
        "path" : "Questionnaire.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.enableWhen.id",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:illness.enableWhen.extension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:illness.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.enableWhen.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" : "Questionnaire.item:illness.enableWhen.question",
        "path" : "Questionnaire.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.enableWhen.operator",
        "path" : "Questionnaire.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.enableWhen.answer[x]",
        "path" : "Questionnaire.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.enableBehavior",
        "path" : "Questionnaire.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.required",
        "path" : "Questionnaire.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.repeats",
        "path" : "Questionnaire.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.readOnly",
        "path" : "Questionnaire.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.maxLength",
        "path" : "Questionnaire.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.answerValueSet",
        "path" : "Questionnaire.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.answerOption",
        "path" : "Questionnaire.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.answerOption.id",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:illness.answerOption.extension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:illness.answerOption.modifierExtension",
        "path" : "Questionnaire.item.answerOption.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" : "Questionnaire.item:illness.answerOption.value[x]",
        "path" : "Questionnaire.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.answerOption.initialSelected",
        "path" : "Questionnaire.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.initial",
        "path" : "Questionnaire.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.initial.id",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:illness.initial.extension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:illness.initial.modifierExtension",
        "path" : "Questionnaire.item.initial.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" : "Questionnaire.item:illness.initial.value[x]",
        "path" : "Questionnaire.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item",
        "path" : "Questionnaire.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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" : "Questionnaire.item:illness.item.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode",
        "path" : "Questionnaire.item.item",
        "sliceName" : "oriCancerCode",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerCode.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerCode.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerCode.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.1",
        "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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.oriCancerCode|原發癌症診斷碼，最長為7碼。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:oriCancerCode.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-primary-cancer-icd",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerCode.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerCode.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerCode.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerCode.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerCode.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerCode.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerCode.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate",
        "path" : "Questionnaire.item.item",
        "sliceName" : "oriCancerDxDate",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerDxDate.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerDxDate.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerDxDate.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.2",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.oriCancerDxDate|癌症最初診斷日期，西元年月日；不得大於系統日。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:oriCancerDxDate.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerDxDate.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerDxDate.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerDxDate.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerDxDate.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerDxDate.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerDxDate.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerDxDate.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc",
        "path" : "Questionnaire.item.item",
        "sliceName" : "oriCancerAjcc",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerAjcc.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerAjcc.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerAjcc.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.3",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.oriCancerAjcc|癌症最初診斷AJCC分期(病理分期或未接受治療前的臨床分期)，依期別填入；若不是用此分類而用其他分類，則填寫9。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:oriCancerAjcc.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancerstaging",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerAjcc.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerAjcc.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerAjcc.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerAjcc.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerAjcc.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerAjcc.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1",
        "path" : "Questionnaire.item.item",
        "sliceName" : "oriCancerAjcc1",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.4",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.oriCancerAjcc1|癌症最初診斷AJCC分期_補充說明欄位，若前述欄位為9，則請於此欄位描述其他系統之其他分期為何。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:oriCancerAjcc1.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:oriCancerAjcc1.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:oriCancerAjcc1.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus",
        "path" : "Questionnaire.item.item",
        "sliceName" : "cancerStatus",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerStatus.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerStatus.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerStatus.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.5",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.cancerStatus|目前癌症狀態",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:cancerStatus.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerStatus.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerStatus.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerStatus.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancerstage-status",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerStatus.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerStatus.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerStatus.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerStatus.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerStatus.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerStatus.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerStatus.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment",
        "path" : "Questionnaire.item.item",
        "sliceName" : "cancerTreatment",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatment.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatment.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatment.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.6",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.cancerTreatment|後續治療評估，可複選。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:cancerTreatment.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancer-treatment",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatment.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatment.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatment.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatment.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatment.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatment.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatment.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan",
        "path" : "Questionnaire.item.item",
        "sliceName" : "cancerTreatmentPlan",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.7",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.cancerTreatmentPlan|後續治療計劃，可複選。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "choice",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "patternBoolean" : true,
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-cancer-treatment-plan",
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatmentPlan.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentPlan.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText",
        "path" : "Questionnaire.item.item",
        "sliceName" : "cancerTreatmentText",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.id",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatmentText.extension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatmentText.modifierExtension",
        "path" : "Questionnaire.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" : "Questionnaire.item:illness.item:cancerTreatmentText.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "short" : "Unique id for item in questionnaire",
        "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
        "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
        "requirements" : "[QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.linkId",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "7.8",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : ".id"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.definition",
        "path" : "Questionnaire.item.item.definition",
        "short" : "ElementDefinition - details for the item",
        "definition" : "This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
        "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/R4/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R4/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
        "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.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=INST].target[classCode=OBS, moodCode=DEF]"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.code",
        "path" : "Questionnaire.item.item.code",
        "short" : "Corresponding concept for this item in a terminology",
        "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
        "comment" : "The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Allows linking of groups of questions to formal terminologies.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.code",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "condition" : [
          "que-3"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireConcept"
            }
          ],
          "strength" : "example",
          "description" : "Codes for questionnaires, groups and individual questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".code"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.prefix",
        "path" : "Questionnaire.item.item.prefix",
        "short" : "E.g. \"1(a)\", \"2.5.3\"",
        "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
        "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
        "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
        "alias" : [
          "label"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.prefix",
          "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" : "Not supported"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.text",
        "path" : "Questionnaire.item.item.text",
        "short" : "Primary text for the item",
        "definition" : "The name of a section, the text of a question or text content for a display item.",
        "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "patternString" : "illness.cancerTreatmentText|補充說明。",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "Questionnaire.item:illness.item:cancerTreatmentText.type",
        "path" : "Questionnaire.item.item.type",
        "short" : "group | display | boolean | decimal | integer | date | dateTime +",
        "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
        "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Defines the format in which the user is to be prompted for the answer.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.type",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "patternCode" : "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" : "QuestionnaireItemType"
            }
          ],
          "strength" : "required",
          "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen",
        "path" : "Questionnaire.item.item.enableWhen",
        "short" : "Only allow data when",
        "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
        "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
        "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.enableWhen",
          "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" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)",
            "source" : "http://hl7.org/fhir/StructureDefinition/Questionnaire"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen.id",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen.extension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen.modifierExtension",
        "path" : "Questionnaire.item.item.enableWhen.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" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen.question",
        "path" : "Questionnaire.item.item.enableWhen.question",
        "short" : "Question that determines whether item is enabled",
        "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
        "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.question",
          "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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen.operator",
        "path" : "Questionnaire.item.item.enableWhen.operator",
        "short" : "exists | = | != | > | < | >= | <=",
        "definition" : "Specifies the criteria by which the question is enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.operator",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }
          ],
          "strength" : "required",
          "description" : "The criteria by which a question is enabled.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.enableWhen.answer[x]",
        "path" : "Questionnaire.item.item.enableWhen.answer[x]",
        "short" : "Value for question comparison based on operator",
        "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "condition" : [
          "que-7"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption3"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.enableBehavior",
        "path" : "Questionnaire.item.item.enableBehavior",
        "short" : "all | any",
        "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
        "comment" : "This element must be specified if more than one enableWhen value is provided.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.enableBehavior",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "que-12"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "EnableWhenBehavior"
            }
          ],
          "strength" : "required",
          "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.required",
        "path" : "Questionnaire.item.item.required",
        "short" : "Whether the item must be included in data results",
        "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
        "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.required",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.repeats",
        "path" : "Questionnaire.item.item.repeats",
        "short" : "Whether the item may repeat",
        "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
        "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
        "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.repeats",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
        "condition" : [
          "que-6"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.readOnly",
        "path" : "Questionnaire.item.item.readOnly",
        "short" : "Don't allow human editing",
        "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
        "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
        "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.readOnly",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "condition" : [
          "que-9"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.maxLength",
        "path" : "Questionnaire.item.item.maxLength",
        "short" : "No more than this many characters",
        "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
        "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.maxLength",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "condition" : [
          "que-10"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "short" : "Valueset containing permitted answers",
        "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](http://hl7.org/fhir/R4/loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerValueSet",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/ValueSet"
            ]
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.answerOption",
        "path" : "Questionnaire.item.item.answerOption",
        "short" : "Permitted answer",
        "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
        "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.answerOption",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-4",
          "que-5"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.answerOption.id",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatmentText.answerOption.extension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatmentText.answerOption.modifierExtension",
        "path" : "Questionnaire.item.item.answerOption.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" : "Questionnaire.item:illness.item:cancerTreatmentText.answerOption.value[x]",
        "path" : "Questionnaire.item.item.answerOption.value[x]",
        "short" : "Answer value",
        "definition" : "A potential answer that's allowed as the answer to this question.",
        "comment" : "The data type of the value must agree with the item.type.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.answerOption.initialSelected",
        "path" : "Questionnaire.item.item.answerOption.initialSelected",
        "short" : "Whether option is selected by default",
        "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
        "comment" : "Use this instead of initial[v] if answerValueSet is present.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.initial",
        "path" : "Questionnaire.item.item.initial",
        "short" : "Initial value(s) when item is first rendered",
        "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
        "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
        "requirements" : "In some workflows, having defaults saves time.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.initial",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "condition" : [
          "que-8",
          "que-13"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.initial.id",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatmentText.initial.extension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatmentText.initial.modifierExtension",
        "path" : "Questionnaire.item.item.initial.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" : "Questionnaire.item:illness.item:cancerTreatmentText.initial.value[x]",
        "path" : "Questionnaire.item.item.initial.value[x]",
        "short" : "Actual value for initializing the question",
        "definition" : "The actual value to for an initial answer.",
        "comment" : "The type of the initial value must be consistent with the type of the item.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Questionnaire.item.initial.value[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must 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" : "QuestionnaireQuestionOption2"
            }
          ],
          "strength" : "example",
          "description" : "Allowed values to answer questions.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }
        ]
      },
      {
        "id" : "Questionnaire.item:illness.item:cancerTreatmentText.item",
        "path" : "Questionnaire.item.item.item",
        "short" : "Nested questionnaire items",
        "definition" : "Text, questions and other groups to be nested beneath a question or group.",
        "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
        "requirements" : "Reports can consist of complex nested groups.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Questionnaire.item.item",
          "min" : 0,
          "max" : "*"
        },
        "contentReference" : "http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item",
        "condition" : [
          "que-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" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Questionnaire.status",
        "path" : "Questionnaire.status",
        "patternCode" : "active"
      },
      {
        "id" : "Questionnaire.item",
        "path" : "Questionnaire.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "min" : 7,
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item.linkId",
        "path" : "Questionnaire.item.linkId",
        "short" : "問卷題目編號"
      },
      {
        "id" : "Questionnaire.item.type",
        "path" : "Questionnaire.item.type",
        "short" : "答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字"
      },
      {
        "id" : "Questionnaire.item:hosp",
        "path" : "Questionnaire.item",
        "sliceName" : "hosp",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.linkId",
        "path" : "Questionnaire.item.linkId",
        "patternString" : "1"
      },
      {
        "id" : "Questionnaire.item:hosp.text",
        "path" : "Questionnaire.item.text",
        "patternString" : "hosp|院所資訊"
      },
      {
        "id" : "Questionnaire.item:hosp.type",
        "path" : "Questionnaire.item.type",
        "patternCode" : "group"
      },
      {
        "id" : "Questionnaire.item:hosp.required",
        "path" : "Questionnaire.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item",
        "path" : "Questionnaire.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "min" : 5
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode",
        "path" : "Questionnaire.item.item",
        "sliceName" : "applMode",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.1"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.applMode|申報方式"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "choice"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.required",
        "path" : "Questionnaire.item.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:applMode.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-mode"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType",
        "path" : "Questionnaire.item.item",
        "sliceName" : "applType",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.2"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.applType|申報類別"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "choice"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.required",
        "path" : "Questionnaire.item.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:applType.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-apply-type"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate",
        "path" : "Questionnaire.item.item",
        "sliceName" : "applDate",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.3"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.applDate|申請日期"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "date"
      },
      {
        "id" : "Questionnaire.item:hosp.item:applDate.required",
        "path" : "Questionnaire.item.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:medCertBookDate",
        "path" : "Questionnaire.item.item",
        "sliceName" : "medCertBookDate",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:medCertBookDate.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.4"
      },
      {
        "id" : "Questionnaire.item:hosp.item:medCertBookDate.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.medCertBookDate|開立診斷書申請日期"
      },
      {
        "id" : "Questionnaire.item:hosp.item:medCertBookDate.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "date"
      },
      {
        "id" : "Questionnaire.item:hosp.item:medCertBookDate.required",
        "path" : "Questionnaire.item.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:hospId",
        "path" : "Questionnaire.item.item",
        "sliceName" : "hospId",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:hospId.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.5"
      },
      {
        "id" : "Questionnaire.item:hosp.item:hospId.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.hospId|醫事機構代碼"
      },
      {
        "id" : "Questionnaire.item:hosp.item:hospId.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "choice"
      },
      {
        "id" : "Questionnaire.item:hosp.item:hospId.required",
        "path" : "Questionnaire.item.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:hospId.answerValueSet",
        "path" : "Questionnaire.item.item.answerValueSet",
        "patternCanonical" : "https://twcore.mohw.gov.tw/ig/ci/ValueSet/nhi-organization"
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNo",
        "path" : "Questionnaire.item.item",
        "sliceName" : "acptNo",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNo.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.6"
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNo.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.acptNo|受理編號"
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNo.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "string"
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNum",
        "path" : "Questionnaire.item.item",
        "sliceName" : "acptNum",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNum.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "1.7"
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNum.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "hosp.acptNum|受理次數"
      },
      {
        "id" : "Questionnaire.item:hosp.item:acptNum.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "integer"
      },
      {
        "id" : "Questionnaire.item:patient",
        "path" : "Questionnaire.item",
        "sliceName" : "patient",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:patient.linkId",
        "path" : "Questionnaire.item.linkId",
        "patternString" : "2"
      },
      {
        "id" : "Questionnaire.item:patient.text",
        "path" : "Questionnaire.item.text",
        "patternString" : "patient|病人資訊"
      },
      {
        "id" : "Questionnaire.item:patient.type",
        "path" : "Questionnaire.item.type",
        "patternCode" : "reference"
      },
      {
        "id" : "Questionnaire.item:patient.required",
        "path" : "Questionnaire.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:patient.answerOption.value[x]",
        "path" : "Questionnaire.item.answerOption.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ]
      },
      {
        "id" : "Questionnaire.item:doctor",
        "path" : "Questionnaire.item",
        "sliceName" : "doctor",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:doctor.linkId",
        "path" : "Questionnaire.item.linkId",
        "patternString" : "3"
      },
      {
        "id" : "Questionnaire.item:doctor.text",
        "path" : "Questionnaire.item.text",
        "patternString" : "doctor|醫師資訊"
      },
      {
        "id" : "Questionnaire.item:doctor.type",
        "path" : "Questionnaire.item.type",
        "patternCode" : "group"
      },
      {
        "id" : "Questionnaire.item:doctor.required",
        "path" : "Questionnaire.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:doctor.item",
        "path" : "Questionnaire.item.item",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "linkId"
            }
          ],
          "rules" : "closed"
        },
        "min" : 1
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnId",
        "path" : "Questionnaire.item.item",
        "sliceName" : "diagPrsnId",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnId.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "3.1"
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnId.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "doctor.diagPrsnId|醫師身分證號"
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnId.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "string"
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnName",
        "path" : "Questionnaire.item.item",
        "sliceName" : "diagPrsnName",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnName.linkId",
        "path" : "Questionnaire.item.item.linkId",
        "patternString" : "3.2"
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnName.text",
        "path" : "Questionnaire.item.item.text",
        "patternString" : "doctor.diagPrsnName|診斷醫師姓名"
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnName.type",
        "path" : "Questionnaire.item.item.type",
        "patternCode" : "string"
      },
      {
        "id" : "Questionnaire.item:doctor.item:diagPrsnName.required",
        "path" : "Questionnaire.item.item.required",
        "patternBoolean" : true
      },
      {
        "id" : "Questionnaire.item:diagnosis",
        "path" : "Questionnaire.item",
        "sliceName" : "diagnosis",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Questionnaire.item:diagnosis.linkId",
        "path" : "Questionnaire.item.linkId",
        "patternString" : "4"
      },
      {
        "id" : "Questionnaire.item:diagnosis.text",
        "path" : "Questionnaire.item.text",
        "patternString" : "diagnosis|疾病資訊"
      },
      {
        "id" : "Questionnaire.item:diagnosis.type",
        "path" : "Questionnaire.item.type",
        "patternCode" : "group"
      },
      {
        "id" : "Questionnaire.item:diagnosis.item",
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      {
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}