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

Qicore\qicore-procedurerequest-questionnaire.json

Raw JSON (canonical form)

Generated Questionnaire for qicore-procedurerequest

{
  "resourceType": "Questionnaire",
  "id": "qs1",
  "contained": [
    {
      "resourceType": "ValueSet",
      "id": "vs2",
      "name": "Type options for ProcedureRequest.subject",
      "status": "active",
      "description": "Type options for ProcedureRequest.subject",
      "expansion": {
        "identifier": "urn:uuid:de57194a-1937-4788-956c-32e53be88dd0",
        "timestamp": "2016-03-31T08:11:00+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-patient",
            "display": "qicore-patient"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Group",
            "display": "Group"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs3",
      "name": "Type options for ProcedureRequest.reason[x]",
      "status": "active",
      "description": "Type options for ProcedureRequest.reason[x]",
      "expansion": {
        "identifier": "urn:uuid:38f26c1f-587f-4b7a-8f9e-78c0b53af221",
        "timestamp": "2016-03-31T08:11:00+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "CodeableConcept",
            "display": "CodeableConcept"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Condition",
            "display": "Condition"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs4",
      "name": "Type options for ProcedureRequest.scheduled[x]",
      "status": "active",
      "description": "Type options for ProcedureRequest.scheduled[x]",
      "expansion": {
        "identifier": "urn:uuid:6c82e3c1-7634-4cbc-ba27-d069e0195ed8",
        "timestamp": "2016-03-31T08:11:00+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "dateTime",
            "display": "dateTime"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Period",
            "display": "Period"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "Timing",
            "display": "Timing"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs5",
      "name": "Type options for ProcedureRequest.performer",
      "status": "active",
      "description": "Type options for ProcedureRequest.performer",
      "expansion": {
        "identifier": "urn:uuid:9ce1a70b-3ad6-46dd-baf1-b98ae7b1f894",
        "timestamp": "2016-03-31T08:11:00+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-practitioner",
            "display": "qicore-practitioner"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-organization",
            "display": "qicore-organization"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-patient",
            "display": "qicore-patient"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-relatedperson",
            "display": "qicore-relatedperson"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs6",
      "name": "Type options for ProcedureRequest.asNeeded[x]",
      "status": "active",
      "description": "Type options for ProcedureRequest.asNeeded[x]",
      "expansion": {
        "identifier": "urn:uuid:2676a28d-b755-497e-b7fc-f18416316092",
        "timestamp": "2016-03-31T08:11:00+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "boolean",
            "display": "boolean"
          },
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "CodeableConcept",
            "display": "CodeableConcept"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs7",
      "name": "Type options for ProcedureRequest.orderer",
      "status": "active",
      "description": "Type options for ProcedureRequest.orderer",
      "expansion": {
        "identifier": "urn:uuid:b47efeea-2518-4c4d-b497-c9d0b5293718",
        "timestamp": "2016-03-31T08:11:00+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-practitioner",
            "display": "qicore-practitioner"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-patient",
            "display": "qicore-patient"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-relatedperson",
            "display": "qicore-relatedperson"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "qicore-device",
            "display": "qicore-device"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986"
    }
  ],
  "status": "draft",
  "date": "2015-02-27T00:00:00+11:00",
  "publisher": "Health Level Seven International (Clinical Quality Information - QICore)",
  "item": [
    {
      "linkId": "ProcedureRequest",
      "text": "A request for a procedure to be performed",
      "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": "A request for a procedure to be performed. May be a proposal or an order.",
          "type": "display"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "string"
            }
          ],
          "linkId": "ProcedureRequest.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": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.id.value",
              "text": "Logical id of this artifact",
              "type": "string",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.meta",
          "text": "Metadata about the resource",
          "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": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
              "type": "display"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "uri"
            }
          ],
          "linkId": "ProcedureRequest.implicitRules",
          "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": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.implicitRules.value",
              "text": "A set of rules under which this content was created",
              "type": "string",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "code"
            }
          ],
          "linkId": "ProcedureRequest.language",
          "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": "The base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.language.value",
              "text": "language",
              "type": "choice",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.text",
          "text": "Text summary of the resource, for human interpretation",
          "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": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "ProcedureRequest.contained",
          "text": "Contained, inline Resources",
          "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": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "ProcedureRequest.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"
            }
          ]
        },
        {
          "linkId": "ProcedureRequest.modifierExtension",
          "text": "Extensions that cannot be ignored",
          "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 resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that 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-fhirType",
              "valueString": "Identifier"
            }
          ],
          "linkId": "ProcedureRequest.identifier",
          "text": "Unique identifier for the request",
          "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": "Identifiers assigned to this order by the order or by the receiver.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.identifier.label",
              "text": "label:",
              "type": "string",
              "required": false,
              "repeats": false
            },
            {
              "linkId": "ProcedureRequest.identifier.system",
              "text": "system:",
              "type": "string",
              "required": false,
              "repeats": false
            },
            {
              "linkId": "ProcedureRequest.identifier.value",
              "text": "value:",
              "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": "ProcedureRequest.subject",
          "text": "Who the procedure should be done to",
          "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": "The person, animal or group that should receive the procedure.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.subject._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs2"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.subject._qicore-patient",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-patient"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.subject._qicore-patient.value",
                      "text": "qicore-patient",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.subject._Group",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "Group"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.subject._Group.value",
                      "text": "Group",
                      "type": "reference",
                      "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
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "CodeableConcept"
            }
          ],
          "linkId": "ProcedureRequest.code",
          "text": "What procedure to perform",
          "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": "The specific procedure that is ordered. Use text if the exact nature of the procedure cannot be coded.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.code.coding",
              "text": "code:",
              "type": "open-choice",
              "required": false,
              "repeats": false
            },
            {
              "linkId": "ProcedureRequest.code.text",
              "text": "text:",
              "type": "string",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "CodeableConcept"
            }
          ],
          "linkId": "ProcedureRequest.bodySite",
          "text": "What part of body to perform on",
          "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": "Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites). Only used if not implicit in the code found in ProcedureRequest.type.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.bodySite.coding",
              "text": "code:",
              "type": "open-choice",
              "required": false,
              "repeats": false
            },
            {
              "linkId": "ProcedureRequest.bodySite.text",
              "text": "text:",
              "type": "string",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.reason[x]",
          "text": "Why procedure should occur",
          "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": "The reason why the procedure is being proposed or ordered. This procedure request may be motivated by a Condition for instance.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.reason[x]._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs3"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "CodeableConcept"
                    }
                  ],
                  "linkId": "ProcedureRequest.reason[x]._CodeableConcept",
                  "text": "CodeableConcept",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "ProcedureRequest.reason[x]._CodeableConcept.coding",
                      "text": "code:",
                      "type": "open-choice",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "ProcedureRequest.reason[x]._CodeableConcept.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.reason[x]._Condition",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "Condition"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.reason[x]._Condition.value",
                      "text": "Condition",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.scheduled[x]",
          "text": "When procedure should occur",
          "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": "The timing schedule for the proposed or ordered procedure. The Schedule data type allows many different expressions.  E.g. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.scheduled[x]._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs4"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "datetime"
                    }
                  ],
                  "linkId": "ProcedureRequest.scheduled[x]._dateTime",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "ProcedureRequest.scheduled[x]._dateTime.value",
                      "text": "dateTime",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Period"
                    }
                  ],
                  "linkId": "ProcedureRequest.scheduled[x]._Period",
                  "text": "Period",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "ProcedureRequest.scheduled[x]._Period.low",
                      "text": "start:",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "ProcedureRequest.scheduled[x]._Period.end",
                      "text": "end:",
                      "type": "dateTime",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Schedule"
                    }
                  ],
                  "linkId": "ProcedureRequest.scheduled[x]._Timing",
                  "text": "Timing",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "ProcedureRequest.scheduled[x]._Timing.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "ProcedureRequest.scheduled[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": "ProcedureRequest.scheduled[x]._Timing.author",
                      "text": "author:",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "Reference"
            }
          ],
          "linkId": "ProcedureRequest.encounter",
          "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": "The encounter within which the procedure proposal or request was created.",
              "type": "display"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                  "valueCode": "qicore-encounter"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                  "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                }
              ],
              "linkId": "ProcedureRequest.encounter.value",
              "text": "Encounter request created during",
              "type": "reference",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.performer",
          "text": "Who should perform the procedure",
          "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": "For example, the surgeon, anaethetist, endoscopist, etc.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.performer._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs5"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.performer._qicore-practitioner",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-practitioner"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.performer._qicore-practitioner.value",
                      "text": "qicore-practitioner",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.performer._qicore-organization",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-organization"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.performer._qicore-organization.value",
                      "text": "qicore-organization",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.performer._qicore-patient",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-patient"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.performer._qicore-patient.value",
                      "text": "qicore-patient",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.performer._qicore-relatedperson",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-relatedperson"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.performer._qicore-relatedperson.value",
                      "text": "qicore-relatedperson",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "code"
            }
          ],
          "linkId": "ProcedureRequest.status",
          "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": "The status of the order.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.status.value",
              "text": "status",
              "type": "choice",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "Annotation"
            }
          ],
          "linkId": "ProcedureRequest.notes",
          "text": "Additional information about desired procedure",
          "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": "Any other notes associated with this proposal or order - e.g. provider instructions.",
              "type": "display"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.asNeeded[x]",
          "text": "Preconditions for procedure",
          "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": "If a CodeableConcept is present, it indicates the pre-condition for performing the procedure.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.asNeeded[x]._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs6"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "boolean"
                    }
                  ],
                  "linkId": "ProcedureRequest.asNeeded[x]._boolean",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "ProcedureRequest.asNeeded[x]._boolean.value",
                      "text": "boolean",
                      "type": "boolean",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "CodeableConcept"
                    }
                  ],
                  "linkId": "ProcedureRequest.asNeeded[x]._CodeableConcept",
                  "text": "CodeableConcept",
                  "type": "group",
                  "item": [
                    {
                      "linkId": "ProcedureRequest.asNeeded[x]._CodeableConcept.coding",
                      "text": "code:",
                      "type": "open-choice",
                      "required": false,
                      "repeats": false
                    },
                    {
                      "linkId": "ProcedureRequest.asNeeded[x]._CodeableConcept.text",
                      "text": "text:",
                      "type": "string",
                      "required": false,
                      "repeats": false
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "datetime"
            }
          ],
          "linkId": "ProcedureRequest.orderedOn",
          "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": "The time when the request was made.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.orderedOn.value",
              "text": "When request was created",
              "type": "dateTime",
              "required": false,
              "repeats": false
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            }
          ],
          "linkId": "ProcedureRequest.orderer",
          "text": "Who made request",
          "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": "The healthcare professional responsible for proposing or ordering the procedure.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.orderer._type",
              "text": "type",
              "type": "choice",
              "required": false,
              "repeats": false,
              "options": {
                "reference": "#vs7"
              },
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.orderer._qicore-practitioner",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-practitioner"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.orderer._qicore-practitioner.value",
                      "text": "qicore-practitioner",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.orderer._qicore-patient",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-patient"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.orderer._qicore-patient.value",
                      "text": "qicore-patient",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.orderer._qicore-relatedperson",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-relatedperson"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.orderer._qicore-relatedperson.value",
                      "text": "qicore-relatedperson",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                      "valueString": "Reference"
                    }
                  ],
                  "linkId": "ProcedureRequest.orderer._qicore-device",
                  "type": "group",
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                          "valueCode": "qicore-device"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                          "valueString": "subject=$subj&patient=$subj&encounter=$encounter"
                        }
                      ],
                      "linkId": "ProcedureRequest.orderer._qicore-device.value",
                      "text": "qicore-device",
                      "type": "reference",
                      "required": false,
                      "repeats": false
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 1
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString": "code"
            }
          ],
          "linkId": "ProcedureRequest.priority",
          "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": "The clinical priority associated with this order.",
              "type": "display"
            },
            {
              "linkId": "ProcedureRequest.priority.value",
              "text": "priority",
              "type": "choice",
              "required": false,
              "repeats": false
            }
          ]
        }
      ]
    }
  ]
}

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.