STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions

Ccda\ccda-performer-extension-questionnaire.json

Raw JSON (canonical form)

Generated Questionnaire for ccda-performer-extension

{
  "resourceType": "Questionnaire",
  "id": "qs1",
  "contained": [
    {
      "resourceType": "ValueSet",
      "id": "vs2",
      "name": "Type options for Extension.value[x]",
      "status": "active",
      "description": "Type options for Extension.value[x]",
      "expansion": {
        "identifier": "urn:uuid:0b72a709-da62-4a81-b4f1-bc6ec1778f0f",
        "timestamp": "2016-03-31T08:11:30+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "boolean",
            "display": "boolean"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "integer",
            "display": "integer"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "decimal",
            "display": "decimal"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "base64Binary",
            "display": "base64Binary"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "instant",
            "display": "instant"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "string",
            "display": "string"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "uri",
            "display": "uri"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "date",
            "display": "date"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "dateTime",
            "display": "dateTime"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "time",
            "display": "time"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "code",
            "display": "code"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "oid",
            "display": "oid"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "id",
            "display": "id"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "unsignedInt",
            "display": "unsignedInt"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "positiveInt",
            "display": "positiveInt"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "markdown",
            "display": "markdown"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Annotation",
            "display": "Annotation"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Attachment",
            "display": "Attachment"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Identifier",
            "display": "Identifier"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "CodeableConcept",
            "display": "CodeableConcept"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Coding",
            "display": "Coding"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Quantity",
            "display": "Quantity"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Range",
            "display": "Range"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Period",
            "display": "Period"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Ratio",
            "display": "Ratio"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "SampledData",
            "display": "SampledData"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Signature",
            "display": "Signature"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "HumanName",
            "display": "HumanName"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Address",
            "display": "Address"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "ContactPoint",
            "display": "ContactPoint"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Timing",
            "display": "Timing"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Reference",
            "display": "Reference"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Meta",
            "display": "Meta"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986"
    }
  ],
  "status": "draft",
  "date": "2016-03-31T08:01:25+11:00",
  "publisher": "Lantana Consulting Group",
  "item": [
    {
      "linkId": "Extension",
      "text": "Extension",
      "type": "group",
      "required": false,
      "repeats": true,
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "flyover",
                    "display": "Fly-over"
                  }
                ]
              }
            }
          ],
          "text": "An Extension",
          "type": "display"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "string"
            }
          ],
          "linkId": "Extension.id",
          "type": "group",
          "required": false,
          "repeats": true,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "flyover",
                        "display": "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text": "unique id for the element within a resource (for internal references).",
              "type": "display"
            },
            {
              "linkId": "Extension.id.value",
              "text": "xml:id (or equivalent in JSON)",
              "type": "string",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "linkId": "Extension.extension",
          "text": "Additional Content defined by implementations",
          "type": "group",
          "required": false,
          "repeats": true,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "flyover",
                        "display": "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
              "type": "display"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "uri"
            }
          ],
          "linkId": "Extension.url",
          "type": "group",
          "required": true,
          "repeats": true,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "flyover",
                        "display": "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text": "SHALL contain exactly one [1..1] @url=\"http://hl7.org/fhir/StructureDefinition/ccda-performer-extension\" (CONF:2219-1867). The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific.  This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #.",
              "type": "display"
            },
            {
              "linkId": "Extension.url.value",
              "text": "@url",
              "type": "string",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "Extension.value[x]",
          "text": "valueReference",
          "type": "group",
          "required": true,
          "repeats": true,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "flyover",
                        "display": "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text": "SHALL contain exactly one [1..1] U.S. DAF Practitioner Profile (identifier: http://hl7.org/fhir/StructureDefinition/daf-pract) (CONF:2219-1868).",
              "type": "display"
            },
            {
              "linkId": "Extension.value[x]._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs2"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "boolean"
                    }
                  ],
                  "linkId": "Extension.value[x]._boolean",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._boolean.value",
                      "text": "boolean",
                      "type": "boolean",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "integer"
                    }
                  ],
                  "linkId": "Extension.value[x]._integer",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._integer.value",
                      "text": "integer",
                      "type": "integer",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "decimal"
                    }
                  ],
                  "linkId": "Extension.value[x]._decimal",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._decimal.value",
                      "text": "decimal",
                      "type": "decimal",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "binary"
                    }
                  ],
                  "linkId": "Extension.value[x]._base64Binary",
                  "text": "base64Binary",
                  "type": "group"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "instant"
                    }
                  ],
                  "linkId": "Extension.value[x]._instant",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._instant.value",
                      "text": "instant",
                      "type": "instant",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "string"
                    }
                  ],
                  "linkId": "Extension.value[x]._string",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._string.value",
                      "text": "string",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "uri"
                    }
                  ],
                  "linkId": "Extension.value[x]._uri",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._uri.value",
                      "text": "uri",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "datetime"
                    }
                  ],
                  "linkId": "Extension.value[x]._date",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._date.value",
                      "text": "date",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "datetime"
                    }
                  ],
                  "linkId": "Extension.value[x]._dateTime",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._dateTime.value",
                      "text": "dateTime",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "time"
                    }
                  ],
                  "linkId": "Extension.value[x]._time",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._time.value",
                      "text": "time",
                      "type": "time",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "code"
                    }
                  ],
                  "linkId": "Extension.value[x]._code",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._code.value",
                      "text": "value[x]",
                      "type": "choice",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "string"
                    }
                  ],
                  "linkId": "Extension.value[x]._oid",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._oid.value",
                      "text": "oid",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "string"
                    }
                  ],
                  "linkId": "Extension.value[x]._id",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._id.value",
                      "text": "id",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "integer"
                    }
                  ],
                  "linkId": "Extension.value[x]._unsignedInt",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._unsignedInt.value",
                      "text": "unsignedInt",
                      "type": "integer",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "integer"
                    }
                  ],
                  "linkId": "Extension.value[x]._positiveInt",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._positiveInt.value",
                      "text": "positiveInt",
                      "type": "integer",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "string"
                    }
                  ],
                  "linkId": "Extension.value[x]._markdown",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._markdown.value",
                      "text": "markdown",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Annotation"
                    }
                  ],
                  "linkId": "Extension.value[x]._Annotation",
                  "text": "Annotation",
                  "type": "group"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Attachment"
                    }
                  ],
                  "linkId": "Extension.value[x]._Attachment",
                  "text": "Attachment",
                  "type": "group"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Identifier"
                    }
                  ],
                  "linkId": "Extension.value[x]._Identifier",
                  "text": "Identifier",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Identifier.label",
                      "text": "label:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Identifier.system",
                      "text": "system:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Identifier.value",
                      "text": "value:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "CodeableConcept"
                    }
                  ],
                  "linkId": "Extension.value[x]._CodeableConcept",
                  "text": "CodeableConcept",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._CodeableConcept.coding",
                      "text": "code:",
                      "type": "open-choice",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._CodeableConcept.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Coding"
                    }
                  ],
                  "linkId": "Extension.value[x]._Coding",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Coding.value",
                      "text": "Coding",
                      "type": "open-choice",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Quantity"
                    }
                  ],
                  "linkId": "Extension.value[x]._Quantity",
                  "text": "Quantity",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Quantity.comparator",
                      "text": "comp:",
                      "type": "choice",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Quantity.value",
                      "text": "value:",
                      "type": "decimal",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Quantity.units",
                      "text": "units:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Quantity.code",
                      "text": "coded units:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Quantity.system",
                      "text": "units system:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Range"
                    }
                  ],
                  "linkId": "Extension.value[x]._Range",
                  "text": "Range",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Range.low",
                      "text": "low:",
                      "type": "decimal",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Range.high",
                      "text": "high:",
                      "type": "decimal",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Range.units",
                      "text": "units:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Period"
                    }
                  ],
                  "linkId": "Extension.value[x]._Period",
                  "text": "Period",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Period.low",
                      "text": "start:",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Period.end",
                      "text": "end:",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Ratio"
                    }
                  ],
                  "linkId": "Extension.value[x]._Ratio",
                  "text": "Ratio",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Ratio.numerator",
                      "text": "numerator:",
                      "type": "decimal",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Ratio.denominator",
                      "text": "denominator:",
                      "type": "decimal",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Ratio.units",
                      "text": "units:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "SampledData"
                    }
                  ],
                  "linkId": "Extension.value[x]._SampledData",
                  "text": "SampledData",
                  "type": "group"
                },
                {
                  "linkId": "Extension.value[x]._Signature",
                  "text": "Signature",
                  "type": "group"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Name"
                    }
                  ],
                  "linkId": "Extension.value[x]._HumanName",
                  "text": "HumanName",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._HumanName.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._HumanName.family",
                      "text": "family:",
                      "type": "string",
                      "required": false,
                      "repeats": true
                    },
                    {
                      "linkId": "Extension.value[x]._HumanName.given",
                      "text": "given:",
                      "type": "string",
                      "required": false,
                      "repeats": true
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Address"
                    }
                  ],
                  "linkId": "Extension.value[x]._Address",
                  "text": "Address",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Address.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Address.line",
                      "text": "line:",
                      "type": "string",
                      "required": false,
                      "repeats": true
                    },
                    {
                      "linkId": "Extension.value[x]._Address.city",
                      "text": "city:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Address.state",
                      "text": "state:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Address.postalCode",
                      "text": "post code:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Address.country",
                      "text": "country:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Address.use",
                      "text": "use:",
                      "type": "choice",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "ContactPoint"
                    }
                  ],
                  "linkId": "Extension.value[x]._ContactPoint",
                  "text": "ContactPoint",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._ContactPoint.system",
                      "text": "type:",
                      "type": "choice",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._ContactPoint.value",
                      "text": "value:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._ContactPoint.use",
                      "text": "use:",
                      "type": "choice",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Schedule"
                    }
                  ],
                  "linkId": "Extension.value[x]._Timing",
                  "text": "Timing",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "Extension.value[x]._Timing.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "Extension.value[x]._Timing.date",
                      "text": "date:",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "Patient"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "Practitioner"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "RelatedPerson"
                        }
                      ],
                      "linkId": "Extension.value[x]._Timing.author",
                      "text": "author:",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "Extension.value[x]._Reference",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "Extension.value[x]._Reference.value",
                      "text": "Reference",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "linkId": "Extension.value[x]._Meta",
                  "text": "Meta",
                  "type": "group"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.