ePath R4 Implementation Guide
1.0.1 - ci-build Japan

ePath R4 Implementation Guide - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: EPathQuestionnaire - Detailed Descriptions

Active as of 2026-02-19

Definitions for the EPathQuestionnaire resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Questionnaire
Definition

患者入力フォーム、病日単位でリソースを作成を想定する。


A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.

Short患者入力フォームA structured set of questions
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesForm, CRF, Survey
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
que-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
que-2: The link ids for groups and questions must be unique within the questionnaire (descendants().linkId.isDistinct())
que-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
que-2: The link ids for groups and questions must be unique within the questionnaire (descendants().linkId.isDistinct())
2. Questionnaire.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control10..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Questionnaire.meta.profile
Definition

本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire|x.y.z を設定する。


A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Short本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire|x.y.z を設定する。Profiles this resource claims to conform to
Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Control10..*
Typecanonical(StructureDefinition)
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Questionnaire.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Questionnaire.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Questionnaire.url
Definition

ベースURL/Questionnaire/入力フォーム識別子 を設定する。例)http://e-path.jp/fhir/ePath/Questionnaire/CN05I00511-0.1(CN05I00511-0 の 病日1用の入力フォームテンプレートを表す)


An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers.

ShortベースURL/Questionnaire/入力フォーム識別子 を設定する。Canonical identifier for this questionnaire, represented as a URI (globally unique)
Comments

The name of the referenced questionnaire can be conveyed using the http://hl7.org/fhir/StructureDefinition/display extension.

Control10..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

… This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Questionnaire.identifier
Definition

A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.

ShortAdditional identifier for the questionnaire
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Questionnaire.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 14. Questionnaire.identifier:eventQuisId
    Slice NameeventQuisId
    Definition

    入力フォーム単位の識別子


    A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.

    Short入力フォーム単位の識別子Additional identifier for the questionnaire
    Comments

    Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..1*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Allows externally provided and/or usable business identifiers to be easily associated with the module.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Questionnaire.identifier:eventQuisId.use
    Definition

    The purpose of this identifier.

    Shortusual | official | temp | secondary | old (If known)
    Comments

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Control0..1
    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Questionnaire.identifier:eventQuisId.system
    Definition

    固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-id を設定する。


    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    Short固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-id を設定する。The namespace for the identifier value
    Comments

    Identifier.system is always case sensitive.

    Control10..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    Fixed Valuehttp://e-path.jp/fhir/ePath/IdSystem/quis-id
    ExampleGeneral: http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Questionnaire.identifier:eventQuisId.value
    Definition

    入力フォーム単位の識別子


    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    Short入力フォーム単位の識別子The value that is unique
    Comments

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    ExampleGeneral: 123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Questionnaire.title
    Definition

    入力フォームのタイトルを設定する。


    A short, descriptive, user-friendly title for the questionnaire.

    Short入力フォームタイトルName for this questionnaire (human friendly)
    Comments

    This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Questionnaire.status
    Definition

    The status of this questionnaire. Enables tracking the life-cycle of the content.

    Shortdraft | active | retired | unknown
    Comments

    Allows filtering of questionnaires that are appropriate for use versus not.

    Control1..1
    BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

    The lifecycle status of an artifact.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Questionnaire.description
    Definition

    ヒューマンリーダブルな形式で入力フォームの説明を設定する。


    A free text natural language description of the questionnaire from a consumer's perspective.

    Short入力フォームの説明Natural language description of the questionnaire
    Comments

    This description can be used to capture details such as why the questionnaire was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the questionnaire is presumed to be the predominant language in the place the questionnaire was created).

    Control0..1
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Questionnaire.item
    Definition

    1階層目にOATユニット、2階層目を観察項目の内容を設定する。入力コントロールの定義(ePathメッセージの観察項目結果値定義)は、ElementDefinitionではなく、拡張で対応する。


    A particular question, question grouping or display text that is part of the questionnaire.

    Short入力コントロールQuestions and sections within the Questionnaire
    Comments

    The content of the questionnaire is constructed from an ordered, hierarchical collection of items.

    Control0..*
    This element is affected by the following invariants: que-3
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    que-1: Group items must have nested items, display items cannot have nested items ((type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty()))
    que-3: Display items cannot have a "code" asserted (type!='display' or code.empty())
    que-4: A question cannot have both answerOption and answerValueSet (answerOption.empty() or answerValueSet.empty())
    que-5: Only 'choice' and 'open-choice' items can have answerValueSet ((type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty()))
    que-6: Required and repeat aren't permitted for display items (type!='display' or (required.empty() and repeats.empty()))
    que-8: Initial values can't be specified for groups or display items ((type!='group' and type!='display') or initial.empty())
    que-9: Read-only can't be specified for "display" items (type!='display' or readOnly.empty())
    que-10: Maximum length can only be declared for simple question types ((type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty())
    que-11: If one or more answerOption is present, initial[x] must be missing (answerOption.empty() or initial.empty())
    que-12: If there are more than one enableWhen, enableBehavior must be specified (enableWhen.count() > 2 implies enableBehavior.exists())
    que-13: Can only have multiple initial values for repeating items (repeats=true or initial.count() <= 1)
    que-1: Group items must have nested items, display items cannot have nested items ((type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty()))
    que-3: Display items cannot have a "code" asserted (type!='display' or code.empty())
    que-4: A question cannot have both answerOption and answerValueSet (answerOption.empty() or answerValueSet.empty())
    que-5: Only 'choice' and 'open-choice' items can have answerValueSet ((type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty()))
    que-6: Required and repeat aren't permitted for display items (type!='display' or (required.empty() and repeats.empty()))
    que-8: Initial values can't be specified for groups or display items ((type!='group' and type!='display') or initial.empty())
    que-9: Read-only can't be specified for "display" items (type!='display' or readOnly.empty())
    que-10: Maximum length can only be declared for simple question types ((type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty())
    que-11: If one or more answerOption is present, initial[x] must be missing (answerOption.empty() or initial.empty())
    que-12: If there are more than one enableWhen, enableBehavior must be specified (enableWhen.count() > 2 implies enableBehavior.exists())
    que-13: Can only have multiple initial values for repeating items (repeats=true or initial.count() <= 1)
    SlicingThis element introduces a set of slices on Questionnaire.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type
    • 30. Questionnaire.item.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Questionnaire.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 32. Questionnaire.item.extension:ePathQuestionnaireItemExtensions
        Slice NameePathQuestionnaireItemExtensions
        Definition

        観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

        Short観察項目結果値定義
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        34. Questionnaire.item.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        36. Questionnaire.item.linkId
        Definition

        An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

        ShortUnique id for item in questionnaire
        Comments

        This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Requirements

        QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.


        QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. Questionnaire.item.type
        Definition

        The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

        Shortgroup | display | boolean | decimal | integer | date | dateTime +
        Comments

        Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

        Control1..1
        BindingThe codes SHALL be taken from QuestionnaireItemTypehttp://hl7.org/fhir/ValueSet/item-type|4.0.1
        (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

        Distinguishes groups from questions and display text and indicates data type for questions.

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Requirements

        Defines the format in which the user is to be prompted for the answer.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. Questionnaire.item.enableWhen
        Definition

        A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

        ShortOnly allow data when
        Comments

        If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

        Control0..*
        TypeBackboneElement
        Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
        Summaryfalse
        Requirements

        Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
        que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
        42. Questionnaire.item.enableWhen.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        44. Questionnaire.item.enableWhen.question
        Definition

        The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

        ShortQuestion that determines whether item is enabled
        Comments

        If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Questionnaire.item.enableWhen.operator
        Definition

        Specifies the criteria by which the question is enabled.

        Shortexists | = | != | > | < | >= | <=
        Control1..1
        BindingThe codes SHALL be taken from QuestionnaireItemOperatorhttp://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1
        (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

        The criteria by which a question is enabled.

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Questionnaire.item.enableWhen.answer[x]
        Definition

        A value that the referenced question is tested using the specified operator in order for the item to be enabled.

        ShortValue for question comparison based on operator
        Control1..1
        This element is affected by the following invariants: que-7
        BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
        (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

        Allowed values to answer questions.

        TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. Questionnaire.item.answerValueSet
        Definition

        A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

        ShortValueset containing permitted answers
        Comments

        LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

        Control0..1
        This element is affected by the following invariants: que-4, que-5
        Typecanonical(ValueSet)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Questionnaire.item.answerOption
        Definition

        One of the permitted answers for a "choice" or "open-choice" question.

        ShortPermitted answer
        Comments

        This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

        Control0..*
        This element is affected by the following invariants: que-4, que-5
        TypeBackboneElement
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Questionnaire.item.answerOption.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        56. Questionnaire.item.answerOption.value[x]
        Definition

        A potential answer that's allowed as the answer to this question.

        ShortAnswer value
        Comments

        The data type of the value must agree with the item.type.

        Control1..1
        BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
        (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

        Allowed values to answer questions.

        TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. Questionnaire.item.initial
        Definition

        One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

        ShortInitial value(s) when item is first rendered
        Comments

        The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

        Control0..*
        This element is affected by the following invariants: que-8, que-13
        TypeBackboneElement
        Is Modifierfalse
        Summaryfalse
        Requirements

        In some workflows, having defaults saves time.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. Questionnaire.item.initial.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        62. Questionnaire.item.initial.value[x]
        Definition

        The actual value to for an initial answer.

        ShortActual value for initializing the question
        Comments

        The type of the initial value must be consistent with the type of the item.

        Control1..1
        BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
        (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

        Allowed values to answer questions.

        TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. Questionnaire.item:oatUnit
        Slice NameoatUnit
        Definition

        フォームグループ(OATユニット単位)


        A particular question, question grouping or display text that is part of the questionnaire.

        Shortフォームグループ(OATユニット単位)Questions and sections within the Questionnaire
        Comments

        The content of the questionnaire is constructed from an ordered, hierarchical collection of items.

        Control0..*
        This element is affected by the following invariants: que-3
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        que-1: Group items must have nested items, display items cannot have nested items ((type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty()))
        que-3: Display items cannot have a "code" asserted (type!='display' or code.empty())
        que-4: A question cannot have both answerOption and answerValueSet (answerOption.empty() or answerValueSet.empty())
        que-5: Only 'choice' and 'open-choice' items can have answerValueSet ((type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty()))
        que-6: Required and repeat aren't permitted for display items (type!='display' or (required.empty() and repeats.empty()))
        que-8: Initial values can't be specified for groups or display items ((type!='group' and type!='display') or initial.empty())
        que-9: Read-only can't be specified for "display" items (type!='display' or readOnly.empty())
        que-10: Maximum length can only be declared for simple question types ((type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty())
        que-11: If one or more answerOption is present, initial[x] must be missing (answerOption.empty() or initial.empty())
        que-12: If there are more than one enableWhen, enableBehavior must be specified (enableWhen.count() > 2 implies enableBehavior.exists())
        que-13: Can only have multiple initial values for repeating items (repeats=true or initial.count() <= 1)
        que-1: Group items must have nested items, display items cannot have nested items ((type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty()))
        que-3: Display items cannot have a "code" asserted (type!='display' or code.empty())
        que-4: A question cannot have both answerOption and answerValueSet (answerOption.empty() or answerValueSet.empty())
        que-5: Only 'choice' and 'open-choice' items can have answerValueSet ((type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty()))
        que-6: Required and repeat aren't permitted for display items (type!='display' or (required.empty() and repeats.empty()))
        que-8: Initial values can't be specified for groups or display items ((type!='group' and type!='display') or initial.empty())
        que-9: Read-only can't be specified for "display" items (type!='display' or readOnly.empty())
        que-10: Maximum length can only be declared for simple question types ((type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty())
        que-11: If one or more answerOption is present, initial[x] must be missing (answerOption.empty() or initial.empty())
        que-12: If there are more than one enableWhen, enableBehavior must be specified (enableWhen.count() > 2 implies enableBehavior.exists())
        que-13: Can only have multiple initial values for repeating items (repeats=true or initial.count() <= 1)
        66. Questionnaire.item:oatUnit.extension:ePathQuestionnaireItemExtensions
        Slice NameePathQuestionnaireItemExtensions
        Definition

        観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

        Short観察項目結果値定義
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        68. Questionnaire.item:oatUnit.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        70. Questionnaire.item:oatUnit.linkId
        Definition

        OATユニット識別子[-リピート番号]を半角ピリオド"."で連結したものを設定する。


        An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

        ShortOATユニット識別子[-リピート番号]を半角ピリオド"."で連結したものを設定する。Unique id for item in questionnaire
        Comments

        This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Requirements

        QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.


        QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. Questionnaire.item:oatUnit.code
        Definition

        A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

        ShortCorresponding concept for this item in a terminology
        Comments

        The value may come from the ElementDefinition referred to by .definition.

        Control0..*
        This element is affected by the following invariants: que-3
        BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
        (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

        Codes for questionnaires, groups and individual questions.

        TypeCoding
        Is Modifierfalse
        Summaryfalse
        Requirements

        Allows linking of groups of questions to formal terminologies.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Questionnaire.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 74. Questionnaire.item:oatUnit.code:BOMCategory
          Slice NameBOMCategory
          Definition

          BOM大分類コード・名称 「BOM大分類コード」より設定する。


          A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

          ShortBOM大分類コード・名称Corresponding concept for this item in a terminology
          Comments

          The value may come from the ElementDefinition referred to by .definition.

          Control0..1*
          This element is affected by the following invariants: que-3
          BindingThe codes SHOULD be taken from For example codes, see EPath OutcomeCategory VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
          (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeCategoryVS)
          TypeCoding
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows linking of groups of questions to formal terminologies.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          76. Questionnaire.item:oatUnit.code:BOMCategory.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeCategoryCS
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. Questionnaire.item:oatUnit.code:BOMCategory.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. Questionnaire.item:oatUnit.code:BOMCategory.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. Questionnaire.item:oatUnit.code:LocalCategory
          Slice NameLocalCategory
          Definition

          アウトカム大分類コード・名称


          A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

          Shortアウトカム大分類コード・名称Corresponding concept for this item in a terminology
          Comments

          The value may come from the ElementDefinition referred to by .definition.

          Control0..1*
          This element is affected by the following invariants: que-3
          BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
          (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

          Codes for questionnaires, groups and individual questions.

          TypeCoding
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows linking of groups of questions to formal terminologies.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. Questionnaire.item:oatUnit.code:LocalCategory.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeCategoryCS
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          86. Questionnaire.item:oatUnit.code:LocalCategory.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. Questionnaire.item:oatUnit.code:LocalCategory.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          90. Questionnaire.item:oatUnit.code:BOMSubCategory
          Slice NameBOMSubCategory
          Definition

          BOM中分類コード・名称 「BOM中分類コード」より設定する。


          A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

          ShortBOM中分類コード・名称Corresponding concept for this item in a terminology
          Comments

          The value may come from the ElementDefinition referred to by .definition.

          Control0..1*
          This element is affected by the following invariants: que-3
          BindingThe codes SHOULD be taken from For example codes, see EPath OutcomeSubCategory VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
          (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeSubCategoryVS)
          TypeCoding
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows linking of groups of questions to formal terminologies.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. Questionnaire.item:oatUnit.code:BOMSubCategory.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeSubCategoryCS
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. Questionnaire.item:oatUnit.code:BOMSubCategory.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. Questionnaire.item:oatUnit.code:BOMSubCategory.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. Questionnaire.item:oatUnit.code:LocalSubCategory
          Slice NameLocalSubCategory
          Definition

          アウトカム中分類コード・名称


          A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

          Shortアウトカム中分類コード・名称Corresponding concept for this item in a terminology
          Comments

          The value may come from the ElementDefinition referred to by .definition.

          Control0..1*
          This element is affected by the following invariants: que-3
          BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
          (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

          Codes for questionnaires, groups and individual questions.

          TypeCoding
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows linking of groups of questions to formal terminologies.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. Questionnaire.item:oatUnit.code:LocalSubCategory.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeSubCategoryCS
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. Questionnaire.item:oatUnit.code:LocalSubCategory.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. Questionnaire.item:oatUnit.code:LocalSubCategory.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          106. Questionnaire.item:oatUnit.code:BOMOutcomeCode
          Slice NameBOMOutcomeCode
          Definition

          BOMアウトカムコード・名称 「BOMアウトカムコード」より設定する。 コード一覧で示すコード・名称が設定できない場合、施設等のローカル内で定めたローカルコード・名称・コード体系を設定してもよい。


          A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

          ShortBOMアウトカムコード・名称Corresponding concept for this item in a terminology
          Comments

          The value may come from the ElementDefinition referred to by .definition.

          Control0..1*
          This element is affected by the following invariants: que-3
          BindingThe codes SHOULD be taken from For example codes, see EPath OutcomeCode VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
          (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeCodeVS)
          TypeCoding
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows linking of groups of questions to formal terminologies.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. Questionnaire.item:oatUnit.code:BOMOutcomeCode.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeCodeCS
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. Questionnaire.item:oatUnit.code:BOMOutcomeCode.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. Questionnaire.item:oatUnit.code:BOMOutcomeCode.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. Questionnaire.item:oatUnit.code:LocalOutcomeCode
          Slice NameLocalOutcomeCode
          Definition

          アウトカムコード・名称


          A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

          Shortアウトカムコード・名称Corresponding concept for this item in a terminology
          Comments

          The value may come from the ElementDefinition referred to by .definition.

          Control0..1*
          This element is affected by the following invariants: que-3
          BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
          (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

          Codes for questionnaires, groups and individual questions.

          TypeCoding
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows linking of groups of questions to formal terminologies.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          116. Questionnaire.item:oatUnit.code:LocalOutcomeCode.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeCodeCS
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          118. Questionnaire.item:oatUnit.code:LocalOutcomeCode.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          120. Questionnaire.item:oatUnit.code:LocalOutcomeCode.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          122. Questionnaire.item:oatUnit.text
          Definition

          アウトカムコード表記


          The name of a section, the text of a question or text content for a display item.

          Shortアウトカムコード表記Primary text for the item
          Comments

          When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          124. Questionnaire.item:oatUnit.type
          Definition

          groupを指定する。


          The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

          Shortgroupgroup | display | boolean | decimal | integer | date | dateTime +
          Comments

          Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

          Control1..1
          BindingThe codes SHALL be taken from QuestionnaireItemTypehttp://hl7.org/fhir/ValueSet/item-type|4.0.1
          (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

          Distinguishes groups from questions and display text and indicates data type for questions.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Requirements

          Defines the format in which the user is to be prompted for the answer.

          Fixed Valuegroup
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          126. Questionnaire.item:oatUnit.enableWhen
          Definition

          A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

          ShortOnly allow data when
          Comments

          If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

          Control0..*
          TypeBackboneElement
          Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
          Summaryfalse
          Requirements

          Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
          que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
          128. Questionnaire.item:oatUnit.enableWhen.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          130. Questionnaire.item:oatUnit.enableWhen.question
          Definition

          The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

          ShortQuestion that determines whether item is enabled
          Comments

          If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

          Control1..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          132. Questionnaire.item:oatUnit.enableWhen.operator
          Definition

          Specifies the criteria by which the question is enabled.

          Shortexists | = | != | > | < | >= | <=
          Control1..1
          BindingThe codes SHALL be taken from QuestionnaireItemOperatorhttp://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1
          (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

          The criteria by which a question is enabled.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. Questionnaire.item:oatUnit.enableWhen.answer[x]
          Definition

          A value that the referenced question is tested using the specified operator in order for the item to be enabled.

          ShortValue for question comparison based on operator
          Control1..1
          This element is affected by the following invariants: que-7
          BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
          (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

          Allowed values to answer questions.

          TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          136. Questionnaire.item:oatUnit.answerValueSet
          Definition

          A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

          ShortValueset containing permitted answers
          Comments

          LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

          Control0..1
          This element is affected by the following invariants: que-4, que-5
          Typecanonical(ValueSet)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          138. Questionnaire.item:oatUnit.answerOption
          Definition

          One of the permitted answers for a "choice" or "open-choice" question.

          ShortPermitted answer
          Comments

          This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

          Control0..*
          This element is affected by the following invariants: que-4, que-5
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          140. Questionnaire.item:oatUnit.answerOption.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          142. Questionnaire.item:oatUnit.answerOption.value[x]
          Definition

          A potential answer that's allowed as the answer to this question.

          ShortAnswer value
          Comments

          The data type of the value must agree with the item.type.

          Control1..1
          BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
          (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

          Allowed values to answer questions.

          TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          144. Questionnaire.item:oatUnit.initial
          Definition

          One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

          ShortInitial value(s) when item is first rendered
          Comments

          The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

          Control0..*
          This element is affected by the following invariants: que-8, que-13
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Requirements

          In some workflows, having defaults saves time.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          146. Questionnaire.item:oatUnit.initial.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          148. Questionnaire.item:oatUnit.initial.value[x]
          Definition

          The actual value to for an initial answer.

          ShortActual value for initializing the question
          Comments

          The type of the initial value must be consistent with the type of the item.

          Control1..1
          BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
          (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

          Allowed values to answer questions.

          TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          150. Questionnaire.item:oatUnit.item
          Definition

          1階層目にOATユニット、2階層目を観察項目の内容を設定する。入力コントロールの定義(ePathメッセージの観察項目結果値定義)は、ElementDefinitionではなく、拡張で対応する。


          Text, questions and other groups to be nested beneath a question or group.

          Short入力コントロールNested questionnaire items
          Comments

          There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

          Control0..*
          This element is affected by the following invariants: que-1
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Requirements

          Reports can consist of complex nested groups.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Questionnaire.item.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ type
          • 152. Questionnaire.item:oatUnit.item.extension
            Definition

            An Extension


            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortExtensionAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Questionnaire.item.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 154. Questionnaire.item:oatUnit.item.extension:ePathQuestionnaireItemExtensions
              Slice NameePathQuestionnaireItemExtensions
              Definition

              観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

              Short観察項目結果値定義
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              156. Questionnaire.item:oatUnit.item.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              158. Questionnaire.item:oatUnit.item.linkId
              Definition

              An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

              ShortUnique id for item in questionnaire
              Comments

              This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

              QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.


              QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              160. Questionnaire.item:oatUnit.item.type
              Definition

              The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

              Shortgroup | display | boolean | decimal | integer | date | dateTime +
              Comments

              Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

              Control1..1
              BindingThe codes SHALL be taken from QuestionnaireItemTypehttp://hl7.org/fhir/ValueSet/item-type|4.0.1
              (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

              Distinguishes groups from questions and display text and indicates data type for questions.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

              Defines the format in which the user is to be prompted for the answer.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              162. Questionnaire.item:oatUnit.item.enableWhen
              Definition

              A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

              ShortOnly allow data when
              Comments

              If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

              Control0..*
              TypeBackboneElement
              Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
              Summaryfalse
              Requirements

              Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
              que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
              164. Questionnaire.item:oatUnit.item.enableWhen.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              166. Questionnaire.item:oatUnit.item.enableWhen.question
              Definition

              The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

              ShortQuestion that determines whether item is enabled
              Comments

              If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              168. Questionnaire.item:oatUnit.item.enableWhen.operator
              Definition

              Specifies the criteria by which the question is enabled.

              Shortexists | = | != | > | < | >= | <=
              Control1..1
              BindingThe codes SHALL be taken from QuestionnaireItemOperatorhttp://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1
              (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

              The criteria by which a question is enabled.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              170. Questionnaire.item:oatUnit.item.enableWhen.answer[x]
              Definition

              A value that the referenced question is tested using the specified operator in order for the item to be enabled.

              ShortValue for question comparison based on operator
              Control1..1
              This element is affected by the following invariants: que-7
              BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
              (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

              Allowed values to answer questions.

              TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              172. Questionnaire.item:oatUnit.item.answerValueSet
              Definition

              A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

              ShortValueset containing permitted answers
              Comments

              LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

              Control0..1
              This element is affected by the following invariants: que-4, que-5
              Typecanonical(ValueSet)
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              174. Questionnaire.item:oatUnit.item.answerOption
              Definition

              One of the permitted answers for a "choice" or "open-choice" question.

              ShortPermitted answer
              Comments

              This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

              Control0..*
              This element is affected by the following invariants: que-4, que-5
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              176. Questionnaire.item:oatUnit.item.answerOption.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              178. Questionnaire.item:oatUnit.item.answerOption.value[x]
              Definition

              A potential answer that's allowed as the answer to this question.

              ShortAnswer value
              Comments

              The data type of the value must agree with the item.type.

              Control1..1
              BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
              (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

              Allowed values to answer questions.

              TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              180. Questionnaire.item:oatUnit.item.initial
              Definition

              One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

              ShortInitial value(s) when item is first rendered
              Comments

              The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

              Control0..*
              This element is affected by the following invariants: que-8, que-13
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Requirements

              In some workflows, having defaults saves time.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              182. Questionnaire.item:oatUnit.item.initial.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              184. Questionnaire.item:oatUnit.item.initial.value[x]
              Definition

              The actual value to for an initial answer.

              ShortActual value for initializing the question
              Comments

              The type of the initial value must be consistent with the type of the item.

              Control1..1
              BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
              (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

              Allowed values to answer questions.

              TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              186. Questionnaire.item:oatUnit.item:assessment
              Slice Nameassessment
              Definition

              フォーム入力(観察項目単位)


              Text, questions and other groups to be nested beneath a question or group.

              Shortフォーム入力(観察項目単位)Nested questionnaire items
              Comments

              There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

              Control0..*
              This element is affected by the following invariants: que-1
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Requirements

              Reports can consist of complex nested groups.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              188. Questionnaire.item:oatUnit.item:assessment.extension:ePathQuestionnaireItemExtensions
              Slice NameePathQuestionnaireItemExtensions
              Definition

              観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

              Short観察項目結果値定義
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              190. Questionnaire.item:oatUnit.item:assessment.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              192. Questionnaire.item:oatUnit.item:assessment.linkId
              Definition

              OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。


              An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

              ShortOATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。Unique id for item in questionnaire
              Comments

              This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summaryfalse
              Requirements

              QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.


              QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              194. Questionnaire.item:oatUnit.item:assessment.code
              Definition

              A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

              ShortCorresponding concept for this item in a terminology
              Comments

              The value may come from the ElementDefinition referred to by .definition.

              Control0..*
              This element is affected by the following invariants: que-3
              BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
              (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

              Codes for questionnaires, groups and individual questions.

              TypeCoding
              Is Modifierfalse
              Summaryfalse
              Requirements

              Allows linking of groups of questions to formal terminologies.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Questionnaire.item.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ system
              • 196. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory
                Slice NameBOMAssessmentCategory
                Definition

                BOM観察項目分類コード・名称


                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                ShortBOM観察項目分類コード・名称Corresponding concept for this item in a terminology
                Comments

                The value may come from the ElementDefinition referred to by .definition.

                Control0..1*
                This element is affected by the following invariants: que-3
                BindingThe codes SHOULD be taken from For example codes, see EPath AssessmentCategory VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS)
                TypeCoding
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows linking of groups of questions to formal terminologies.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                198. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                200. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                202. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                204. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory
                Slice NameLocalAssessmentCategory
                Definition

                観察項目分類コード・名称


                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                Short観察項目分類コード・名称Corresponding concept for this item in a terminology
                Comments

                The value may come from the ElementDefinition referred to by .definition.

                Control0..1*
                This element is affected by the following invariants: que-3
                BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                Codes for questionnaires, groups and individual questions.

                TypeCoding
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows linking of groups of questions to formal terminologies.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                206. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCategoryCS
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                208. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                210. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                212. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode
                Slice NameBOMAssessmentCode
                Definition

                BOM観察項目コード・名称


                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                ShortBOM観察項目コード・名称Corresponding concept for this item in a terminology
                Comments

                The value may come from the ElementDefinition referred to by .definition.

                Control0..1*
                This element is affected by the following invariants: que-3
                BindingThe codes SHOULD be taken from For example codes, see EPath AssessmentCode VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS)
                TypeCoding
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows linking of groups of questions to formal terminologies.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                214. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                216. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                218. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                220. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode
                Slice NameLocalAssessmentCode
                Definition

                観察項目コード・名称


                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                Short観察項目コード・名称Corresponding concept for this item in a terminology
                Comments

                The value may come from the ElementDefinition referred to by .definition.

                Control0..1*
                This element is affected by the following invariants: que-3
                BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                Codes for questionnaires, groups and individual questions.

                TypeCoding
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows linking of groups of questions to formal terminologies.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                222. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                224. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                226. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                228. Questionnaire.item:oatUnit.item:assessment.text
                Definition

                質問の内容(観察項目コード表記)


                The name of a section, the text of a question or text content for a display item.

                Short質問の内容(観察項目コード表記)Primary text for the item
                Comments

                When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                230. Questionnaire.item:oatUnit.item:assessment.type
                Definition

                string を指定する。


                The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

                Shortstringgroup | display | boolean | decimal | integer | date | dateTime +
                Comments

                Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                Control1..1
                BindingThe codes SHALL be taken from QuestionnaireItemTypehttp://hl7.org/fhir/ValueSet/item-type|4.0.1
                (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                Distinguishes groups from questions and display text and indicates data type for questions.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Requirements

                Defines the format in which the user is to be prompted for the answer.

                Fixed Valuestring
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                232. Questionnaire.item:oatUnit.item:assessment.enableWhen
                Definition

                A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                ShortOnly allow data when
                Comments

                If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                Control0..*
                TypeBackboneElement
                Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                Summaryfalse
                Requirements

                Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                234. Questionnaire.item:oatUnit.item:assessment.enableWhen.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                236. Questionnaire.item:oatUnit.item:assessment.enableWhen.question
                Definition

                The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                ShortQuestion that determines whether item is enabled
                Comments

                If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                Control1..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                238. Questionnaire.item:oatUnit.item:assessment.enableWhen.operator
                Definition

                Specifies the criteria by which the question is enabled.

                Shortexists | = | != | > | < | >= | <=
                Control1..1
                BindingThe codes SHALL be taken from QuestionnaireItemOperatorhttp://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1
                (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                The criteria by which a question is enabled.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                240. Questionnaire.item:oatUnit.item:assessment.enableWhen.answer[x]
                Definition

                A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                ShortValue for question comparison based on operator
                Control1..1
                This element is affected by the following invariants: que-7
                BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                Allowed values to answer questions.

                TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                242. Questionnaire.item:oatUnit.item:assessment.answerValueSet
                Definition

                A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                ShortValueset containing permitted answers
                Comments

                LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                Control0..1
                This element is affected by the following invariants: que-4, que-5
                Typecanonical(ValueSet)
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                244. Questionnaire.item:oatUnit.item:assessment.answerOption
                Definition

                選択肢


                One of the permitted answers for a "choice" or "open-choice" question.

                Short選択肢Permitted answer
                Comments

                This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                Control0..*
                This element is affected by the following invariants: que-4, que-5
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                246. Questionnaire.item:oatUnit.item:assessment.answerOption.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                248. Questionnaire.item:oatUnit.item:assessment.answerOption.value[x]
                Definition

                A potential answer that's allowed as the answer to this question.

                ShortAnswer value
                Comments

                The data type of the value must agree with the item.type.

                Control1..1
                BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                Allowed values to answer questions.

                TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                250. Questionnaire.item:oatUnit.item:assessment.initial
                Definition

                One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                ShortInitial value(s) when item is first rendered
                Comments

                The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                Control0..*
                This element is affected by the following invariants: que-8, que-13
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Requirements

                In some workflows, having defaults saves time.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                252. Questionnaire.item:oatUnit.item:assessment.initial.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                254. Questionnaire.item:oatUnit.item:assessment.initial.value[x]
                Definition

                The actual value to for an initial answer.

                ShortActual value for initializing the question
                Comments

                The type of the initial value must be consistent with the type of the item.

                Control1..1
                BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                Allowed values to answer questions.

                TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                256. Questionnaire.item:oatUnit.item:assessmentChoice
                Slice NameassessmentChoice
                Definition

                フォーム選択肢(観察項目単位)


                Text, questions and other groups to be nested beneath a question or group.

                Shortフォーム選択肢(観察項目単位)Nested questionnaire items
                Comments

                There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                Control0..*
                This element is affected by the following invariants: que-1
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Requirements

                Reports can consist of complex nested groups.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                258. Questionnaire.item:oatUnit.item:assessmentChoice.extension:ePathQuestionnaireItemExtensions
                Slice NameePathQuestionnaireItemExtensions
                Definition

                観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

                Short観察項目結果値定義
                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                Is Modifierfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                260. Questionnaire.item:oatUnit.item:assessmentChoice.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                262. Questionnaire.item:oatUnit.item:assessmentChoice.linkId
                Definition

                OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。


                An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

                ShortOATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。Unique id for item in questionnaire
                Comments

                This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

                Control1..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Requirements

                QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.


                QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                264. Questionnaire.item:oatUnit.item:assessmentChoice.code
                Definition

                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                ShortCorresponding concept for this item in a terminology
                Comments

                The value may come from the ElementDefinition referred to by .definition.

                Control0..*
                This element is affected by the following invariants: que-3
                BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                Codes for questionnaires, groups and individual questions.

                TypeCoding
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows linking of groups of questions to formal terminologies.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Questionnaire.item.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 266. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory
                  Slice NameBOMAssessmentCategory
                  Definition

                  A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                  ShortCorresponding concept for this item in a terminology
                  Comments

                  The value may come from the ElementDefinition referred to by .definition.

                  Control0..1*
                  This element is affected by the following invariants: que-3
                  BindingThe codes SHOULD be taken from For example codes, see EPath AssessmentCategory VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                  (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS)
                  TypeCoding
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Allows linking of groups of questions to formal terminologies.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  268. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.system
                  Definition

                  The identification of the code system that defines the meaning of the symbol in the code.

                  ShortIdentity of the terminology system
                  Comments

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be unambiguous about the source of the definition of the symbol.

                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  270. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.code
                  Definition

                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  272. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.display
                  Definition

                  A representation of the meaning of the code in the system, following the rules of the system.

                  ShortRepresentation defined by the system
                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  274. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode
                  Slice NameBOMAssessmentCode
                  Definition

                  A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                  ShortCorresponding concept for this item in a terminology
                  Comments

                  The value may come from the ElementDefinition referred to by .definition.

                  Control0..1*
                  This element is affected by the following invariants: que-3
                  BindingThe codes SHOULD be taken from For example codes, see EPath AssessmentCode VShttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                  (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS)
                  TypeCoding
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Allows linking of groups of questions to formal terminologies.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  276. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.system
                  Definition

                  The identification of the code system that defines the meaning of the symbol in the code.

                  ShortIdentity of the terminology system
                  Comments

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be unambiguous about the source of the definition of the symbol.

                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  278. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.code
                  Definition

                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  280. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.display
                  Definition

                  A representation of the meaning of the code in the system, following the rules of the system.

                  ShortRepresentation defined by the system
                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  282. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode
                  Slice NameLocalAssessmentCode
                  Definition

                  A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                  ShortCorresponding concept for this item in a terminology
                  Comments

                  The value may come from the ElementDefinition referred to by .definition.

                  Control0..1*
                  This element is affected by the following invariants: que-3
                  BindingFor example codes, see QuestionnaireQuestionCodeshttp://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1
                  (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                  Codes for questionnaires, groups and individual questions.

                  TypeCoding
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Allows linking of groups of questions to formal terminologies.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  284. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.system
                  Definition

                  The identification of the code system that defines the meaning of the symbol in the code.

                  ShortIdentity of the terminology system
                  Comments

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be unambiguous about the source of the definition of the symbol.

                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  286. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.code
                  Definition

                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  288. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.display
                  Definition

                  A representation of the meaning of the code in the system, following the rules of the system.

                  ShortRepresentation defined by the system
                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  290. Questionnaire.item:oatUnit.item:assessmentChoice.text
                  Definition

                  質問の内容(観察項目コード表記)


                  The name of a section, the text of a question or text content for a display item.

                  Short質問の内容(観察項目コード表記)Primary text for the item
                  Comments

                  When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  292. Questionnaire.item:oatUnit.item:assessmentChoice.type
                  Definition

                  choice を指定する。


                  The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

                  Shortchoicegroup | display | boolean | decimal | integer | date | dateTime +
                  Comments

                  Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                  Control1..1
                  BindingThe codes SHALL be taken from QuestionnaireItemTypehttp://hl7.org/fhir/ValueSet/item-type|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                  Distinguishes groups from questions and display text and indicates data type for questions.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Requirements

                  Defines the format in which the user is to be prompted for the answer.

                  Fixed Valuechoice
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  294. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen
                  Definition

                  A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                  ShortOnly allow data when
                  Comments

                  If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                  Control0..*
                  TypeBackboneElement
                  Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                  Summaryfalse
                  Requirements

                  Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                  que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                  296. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  298. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.question
                  Definition

                  The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                  ShortQuestion that determines whether item is enabled
                  Comments

                  If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                  Control1..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  300. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.operator
                  Definition

                  Specifies the criteria by which the question is enabled.

                  Shortexists | = | != | > | < | >= | <=
                  Control1..1
                  BindingThe codes SHALL be taken from QuestionnaireItemOperatorhttp://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                  The criteria by which a question is enabled.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  302. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.answer[x]
                  Definition

                  A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                  ShortValue for question comparison based on operator
                  Control1..1
                  This element is affected by the following invariants: que-7
                  BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
                  (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                  Allowed values to answer questions.

                  TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  304. Questionnaire.item:oatUnit.item:assessmentChoice.answerValueSet
                  Definition

                  A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                  ShortValueset containing permitted answers
                  Comments

                  LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                  Control0..1
                  This element is affected by the following invariants: que-4, que-5
                  Typecanonical(ValueSet)
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  306. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption
                  Definition

                  選択肢


                  One of the permitted answers for a "choice" or "open-choice" question.

                  Short選択肢Permitted answer
                  Comments

                  This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                  Control0..*
                  This element is affected by the following invariants: que-4, que-5
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  308. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  310. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.value[x]
                  Definition

                  A potential answer that's allowed as the answer to this question.

                  ShortAnswer value
                  Comments

                  The data type of the value must agree with the item.type.

                  Control1..1
                  BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
                  (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                  Allowed values to answer questions.

                  TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  312. Questionnaire.item:oatUnit.item:assessmentChoice.initial
                  Definition

                  One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                  ShortInitial value(s) when item is first rendered
                  Comments

                  The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                  Control0..*
                  This element is affected by the following invariants: que-8, que-13
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  In some workflows, having defaults saves time.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  314. Questionnaire.item:oatUnit.item:assessmentChoice.initial.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  316. Questionnaire.item:oatUnit.item:assessmentChoice.initial.value[x]
                  Definition

                  The actual value to for an initial answer.

                  ShortActual value for initializing the question
                  Comments

                  The type of the initial value must be consistent with the type of the item.

                  Control1..1
                  BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
                  (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                  Allowed values to answer questions.

                  TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                  Guidance on how to interpret the contents of this table can be foundhere

                  0. Questionnaire
                  Definition

                  患者入力フォーム、病日単位でリソースを作成を想定する。

                  Short患者入力フォーム
                  2. Questionnaire.meta
                  Control1..?
                  4. Questionnaire.meta.profile
                  Definition

                  本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire|x.y.z を設定する。

                  Short本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire|x.y.z を設定する。
                  Control1..?
                  Must Supporttrue
                  6. Questionnaire.url
                  Definition

                  ベースURL/Questionnaire/入力フォーム識別子 を設定する。例)http://e-path.jp/fhir/ePath/Questionnaire/CN05I00511-0.1(CN05I00511-0 の 病日1用の入力フォームテンプレートを表す)

                  ShortベースURL/Questionnaire/入力フォーム識別子 を設定する。
                  Control1..?
                  Must Supporttrue
                  8. Questionnaire.identifier
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control1..?
                  SlicingThis element introduces a set of slices on Questionnaire.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ system
                  • 10. Questionnaire.identifier:eventQuisId
                    Slice NameeventQuisId
                    Definition

                    入力フォーム単位の識別子

                    Short入力フォーム単位の識別子
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..1
                    Must Supporttrue
                    12. Questionnaire.identifier:eventQuisId.system
                    Definition

                    固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-id を設定する。

                    Short固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-id を設定する。
                    Control1..?
                    Fixed Valuehttp://e-path.jp/fhir/ePath/IdSystem/quis-id
                    14. Questionnaire.identifier:eventQuisId.value
                    Definition

                    入力フォーム単位の識別子

                    Short入力フォーム単位の識別子
                    Control1..?
                    Must Supporttrue
                    16. Questionnaire.title
                    Definition

                    入力フォームのタイトルを設定する。

                    Short入力フォームタイトル
                    Control1..?
                    Must Supporttrue
                    18. Questionnaire.description
                    Definition

                    ヒューマンリーダブルな形式で入力フォームの説明を設定する。

                    Short入力フォームの説明
                    Must Supportfalse
                    20. Questionnaire.item
                    Definition

                    1階層目にOATユニット、2階層目を観察項目の内容を設定する。入力コントロールの定義(ePathメッセージの観察項目結果値定義)は、ElementDefinitionではなく、拡張で対応する。

                    Short入力コントロール
                    SlicingThis element introduces a set of slices on Questionnaire.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ type
                    • 22. Questionnaire.item.extension
                      SlicingThis element introduces a set of slices on Questionnaire.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 24. Questionnaire.item.extension:ePathQuestionnaireItemExtensions
                        Slice NameePathQuestionnaireItemExtensions
                        Control0..*
                        TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                        26. Questionnaire.item:oatUnit
                        Slice NameoatUnit
                        Definition

                        フォームグループ(OATユニット単位)

                        Shortフォームグループ(OATユニット単位)
                        Control0..*
                        Must Supporttrue
                        28. Questionnaire.item:oatUnit.extension:ePathQuestionnaireItemExtensions
                        Slice NameePathQuestionnaireItemExtensions
                        Control0..*
                        TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                        30. Questionnaire.item:oatUnit.linkId
                        Definition

                        OATユニット識別子[-リピート番号]を半角ピリオド"."で連結したものを設定する。

                        ShortOATユニット識別子[-リピート番号]を半角ピリオド"."で連結したものを設定する。
                        Must Supporttrue
                        32. Questionnaire.item:oatUnit.code
                        SlicingThis element introduces a set of slices on Questionnaire.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ system
                        • 34. Questionnaire.item:oatUnit.code:BOMCategory
                          Slice NameBOMCategory
                          Definition

                          BOM大分類コード・名称 「BOM大分類コード」より設定する。

                          ShortBOM大分類コード・名称
                          Control0..1
                          BindingThe codes SHOULD be taken from EPath OutcomeCategory VS
                          (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeCategoryVS)
                          36. Questionnaire.item:oatUnit.code:BOMCategory.system
                          Control1..?
                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeCategoryCS
                          38. Questionnaire.item:oatUnit.code:BOMCategory.code
                          Control1..?
                          Must Supporttrue
                          40. Questionnaire.item:oatUnit.code:BOMCategory.display
                          Control1..?
                          Must Supporttrue
                          42. Questionnaire.item:oatUnit.code:LocalCategory
                          Slice NameLocalCategory
                          Definition

                          アウトカム大分類コード・名称

                          Shortアウトカム大分類コード・名称
                          Control0..1
                          44. Questionnaire.item:oatUnit.code:LocalCategory.system
                          Control1..?
                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeCategoryCS
                          46. Questionnaire.item:oatUnit.code:LocalCategory.code
                          Control1..?
                          Must Supporttrue
                          48. Questionnaire.item:oatUnit.code:LocalCategory.display
                          Must Supporttrue
                          50. Questionnaire.item:oatUnit.code:BOMSubCategory
                          Slice NameBOMSubCategory
                          Definition

                          BOM中分類コード・名称 「BOM中分類コード」より設定する。

                          ShortBOM中分類コード・名称
                          Control0..1
                          BindingThe codes SHOULD be taken from EPath OutcomeSubCategory VS
                          (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeSubCategoryVS)
                          52. Questionnaire.item:oatUnit.code:BOMSubCategory.system
                          Control1..?
                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeSubCategoryCS
                          54. Questionnaire.item:oatUnit.code:BOMSubCategory.code
                          Control1..?
                          Must Supporttrue
                          56. Questionnaire.item:oatUnit.code:BOMSubCategory.display
                          Control1..?
                          Must Supporttrue
                          58. Questionnaire.item:oatUnit.code:LocalSubCategory
                          Slice NameLocalSubCategory
                          Definition

                          アウトカム中分類コード・名称

                          Shortアウトカム中分類コード・名称
                          Control0..1
                          60. Questionnaire.item:oatUnit.code:LocalSubCategory.system
                          Control1..?
                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeSubCategoryCS
                          62. Questionnaire.item:oatUnit.code:LocalSubCategory.code
                          Control1..?
                          Must Supporttrue
                          64. Questionnaire.item:oatUnit.code:LocalSubCategory.display
                          Must Supporttrue
                          66. Questionnaire.item:oatUnit.code:BOMOutcomeCode
                          Slice NameBOMOutcomeCode
                          Definition

                          BOMアウトカムコード・名称 「BOMアウトカムコード」より設定する。 コード一覧で示すコード・名称が設定できない場合、施設等のローカル内で定めたローカルコード・名称・コード体系を設定してもよい。

                          ShortBOMアウトカムコード・名称
                          Control0..1
                          BindingThe codes SHOULD be taken from EPath OutcomeCode VS
                          (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeCodeVS)
                          68. Questionnaire.item:oatUnit.code:BOMOutcomeCode.system
                          Control1..?
                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeCodeCS
                          70. Questionnaire.item:oatUnit.code:BOMOutcomeCode.code
                          Control1..?
                          Must Supporttrue
                          72. Questionnaire.item:oatUnit.code:BOMOutcomeCode.display
                          Control1..?
                          Must Supporttrue
                          74. Questionnaire.item:oatUnit.code:LocalOutcomeCode
                          Slice NameLocalOutcomeCode
                          Definition

                          アウトカムコード・名称

                          Shortアウトカムコード・名称
                          Control0..1
                          76. Questionnaire.item:oatUnit.code:LocalOutcomeCode.system
                          Control1..?
                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeCodeCS
                          78. Questionnaire.item:oatUnit.code:LocalOutcomeCode.code
                          Control1..?
                          Must Supporttrue
                          80. Questionnaire.item:oatUnit.code:LocalOutcomeCode.display
                          Control1..?
                          Must Supporttrue
                          82. Questionnaire.item:oatUnit.text
                          Definition

                          アウトカムコード表記

                          Shortアウトカムコード表記
                          Control1..?
                          Must Supporttrue
                          84. Questionnaire.item:oatUnit.type
                          Definition

                          groupを指定する。

                          Shortgroup
                          Fixed Valuegroup
                          86. Questionnaire.item:oatUnit.item
                          Definition

                          1階層目にOATユニット、2階層目を観察項目の内容を設定する。入力コントロールの定義(ePathメッセージの観察項目結果値定義)は、ElementDefinitionではなく、拡張で対応する。

                          Short入力コントロール
                          TypeBackboneElement
                          SlicingThis element introduces a set of slices on Questionnaire.item.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ type
                          • 88. Questionnaire.item:oatUnit.item.extension
                            SlicingThis element introduces a set of slices on Questionnaire.item.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 90. Questionnaire.item:oatUnit.item.extension:ePathQuestionnaireItemExtensions
                              Slice NameePathQuestionnaireItemExtensions
                              Control0..*
                              TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                              92. Questionnaire.item:oatUnit.item:assessment
                              Slice Nameassessment
                              Definition

                              フォーム入力(観察項目単位)

                              Shortフォーム入力(観察項目単位)
                              Control0..*
                              Must Supporttrue
                              94. Questionnaire.item:oatUnit.item:assessment.extension:ePathQuestionnaireItemExtensions
                              Slice NameePathQuestionnaireItemExtensions
                              Control0..*
                              TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                              96. Questionnaire.item:oatUnit.item:assessment.linkId
                              Definition

                              OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。

                              ShortOATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。
                              Must Supporttrue
                              98. Questionnaire.item:oatUnit.item:assessment.code
                              SlicingThis element introduces a set of slices on Questionnaire.item.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ system
                              • 100. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory
                                Slice NameBOMAssessmentCategory
                                Definition

                                BOM観察項目分類コード・名称

                                ShortBOM観察項目分類コード・名称
                                Control0..1
                                BindingThe codes SHOULD be taken from EPath AssessmentCategory VS
                                (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS)
                                102. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.system
                                Control1..?
                                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS
                                104. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.code
                                Control1..?
                                Must Supporttrue
                                106. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.display
                                Control1..?
                                Must Supporttrue
                                108. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory
                                Slice NameLocalAssessmentCategory
                                Definition

                                観察項目分類コード・名称

                                Short観察項目分類コード・名称
                                Control0..1
                                110. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.system
                                Control1..?
                                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCategoryCS
                                112. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.code
                                Control1..?
                                Must Supporttrue
                                114. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.display
                                Must Supporttrue
                                116. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode
                                Slice NameBOMAssessmentCode
                                Definition

                                BOM観察項目コード・名称

                                ShortBOM観察項目コード・名称
                                Control0..1
                                BindingThe codes SHOULD be taken from EPath AssessmentCode VS
                                (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS)
                                118. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.system
                                Control1..?
                                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
                                120. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.code
                                Control1..?
                                Must Supporttrue
                                122. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.display
                                Control1..?
                                Must Supporttrue
                                124. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode
                                Slice NameLocalAssessmentCode
                                Definition

                                観察項目コード・名称

                                Short観察項目コード・名称
                                Control0..1
                                126. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.system
                                Control1..?
                                Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
                                128. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.code
                                Control1..?
                                Must Supporttrue
                                130. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.display
                                Control1..?
                                Must Supporttrue
                                132. Questionnaire.item:oatUnit.item:assessment.text
                                Definition

                                質問の内容(観察項目コード表記)

                                Short質問の内容(観察項目コード表記)
                                Control1..?
                                Must Supporttrue
                                134. Questionnaire.item:oatUnit.item:assessment.type
                                Definition

                                string を指定する。

                                Shortstring
                                Fixed Valuestring
                                136. Questionnaire.item:oatUnit.item:assessment.answerOption
                                Definition

                                選択肢

                                Short選択肢
                                138. Questionnaire.item:oatUnit.item:assessmentChoice
                                Slice NameassessmentChoice
                                Definition

                                フォーム選択肢(観察項目単位)

                                Shortフォーム選択肢(観察項目単位)
                                Control0..*
                                140. Questionnaire.item:oatUnit.item:assessmentChoice.extension:ePathQuestionnaireItemExtensions
                                Slice NameePathQuestionnaireItemExtensions
                                Control0..*
                                TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                                142. Questionnaire.item:oatUnit.item:assessmentChoice.linkId
                                Definition

                                OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。

                                ShortOATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。
                                Must Supporttrue
                                144. Questionnaire.item:oatUnit.item:assessmentChoice.code
                                SlicingThis element introduces a set of slices on Questionnaire.item.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ system
                                • 146. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory
                                  Slice NameBOMAssessmentCategory
                                  Control0..1
                                  BindingThe codes SHOULD be taken from EPath AssessmentCategory VS
                                  (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS)
                                  148. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.system
                                  Control1..?
                                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS
                                  150. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.code
                                  Control1..?
                                  Must Supporttrue
                                  152. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.display
                                  Control1..?
                                  Must Supporttrue
                                  154. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode
                                  Slice NameBOMAssessmentCode
                                  Control0..1
                                  BindingThe codes SHOULD be taken from EPath AssessmentCode VS
                                  (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS)
                                  156. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.system
                                  Control1..?
                                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
                                  158. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.code
                                  Control1..?
                                  Must Supporttrue
                                  160. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.display
                                  Control1..?
                                  Must Supporttrue
                                  162. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode
                                  Slice NameLocalAssessmentCode
                                  Control0..1
                                  164. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.system
                                  Control1..?
                                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
                                  166. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.code
                                  Control1..?
                                  Must Supporttrue
                                  168. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.display
                                  Control1..?
                                  Must Supporttrue
                                  170. Questionnaire.item:oatUnit.item:assessmentChoice.text
                                  Definition

                                  質問の内容(観察項目コード表記)

                                  Short質問の内容(観察項目コード表記)
                                  Control1..?
                                  Must Supporttrue
                                  172. Questionnaire.item:oatUnit.item:assessmentChoice.type
                                  Definition

                                  choice を指定する。

                                  Shortchoice
                                  Fixed Valuechoice
                                  174. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption
                                  Definition

                                  選択肢

                                  Short選択肢
                                  Must Supporttrue
                                  176. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.value[x]
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Must Supporttrue

                                  Guidance on how to interpret the contents of this table can be foundhere

                                  0. Questionnaire
                                  Definition

                                  患者入力フォーム、病日単位でリソースを作成を想定する。

                                  Short患者入力フォーム
                                  Control0..*
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate NamesForm, CRF, Survey
                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                  dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                  dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                  dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                  que-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
                                  que-2: The link ids for groups and questions must be unique within the questionnaire (descendants().linkId.isDistinct())
                                  2. Questionnaire.id
                                  Definition

                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                  ShortLogical id of this artifact
                                  Comments

                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                  Control0..1
                                  Typeid
                                  Is Modifierfalse
                                  Summarytrue
                                  4. Questionnaire.meta
                                  Definition

                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                  ShortMetadata about the resource
                                  Control1..1
                                  TypeMeta
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  6. Questionnaire.meta.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  8. Questionnaire.meta.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Questionnaire.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 10. Questionnaire.meta.versionId
                                    Definition

                                    The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                    ShortVersion specific identifier
                                    Comments

                                    The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

                                    Control0..1
                                    Typeid
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    12. Questionnaire.meta.lastUpdated
                                    Definition

                                    When the resource last changed - e.g. when the version changed.

                                    ShortWhen the resource version last changed
                                    Comments

                                    This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

                                    Control0..1
                                    Typeinstant
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    14. Questionnaire.meta.source
                                    Definition

                                    A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                    ShortIdentifies where the resource comes from
                                    Comments

                                    In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

                                    This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                    Control0..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    16. Questionnaire.meta.profile
                                    Definition

                                    本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire|x.y.z を設定する。

                                    Short本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire|x.y.z を設定する。
                                    Comments

                                    It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                    Control1..*
                                    Typecanonical(StructureDefinition)
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    18. Questionnaire.meta.security
                                    Definition

                                    Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                    ShortSecurity Labels applied to this resource
                                    Comments

                                    The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                    Control0..*
                                    BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                    (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

                                    Security Labels from the Healthcare Privacy and Security Classification System.

                                    TypeCoding
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    20. Questionnaire.meta.tag
                                    Definition

                                    Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                    ShortTags applied to this resource
                                    Comments

                                    The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                    Control0..*
                                    BindingFor example codes, see CommonTags
                                    (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

                                    Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                    TypeCoding
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    22. Questionnaire.implicitRules
                                    Definition

                                    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                    ShortA set of rules under which this content was created
                                    Comments

                                    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                    Control0..1
                                    Typeuri
                                    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    24. Questionnaire.language
                                    Definition

                                    The base language in which the resource is written.

                                    ShortLanguage of the resource content
                                    Comments

                                    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).

                                    Control0..1
                                    BindingThe codes SHOULD be taken from CommonLanguages
                                    (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                    A human language.

                                    Additional BindingsPurpose
                                    AllLanguagesMax Binding
                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    26. Questionnaire.text
                                    Definition

                                    A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                    ShortText summary of the resource, for human interpretation
                                    Comments

                                    Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                    Control0..1
                                    TypeNarrative
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesnarrative, html, xhtml, display
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    28. Questionnaire.contained
                                    Definition

                                    These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                    ShortContained, inline Resources
                                    Comments

                                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                    Control0..*
                                    TypeResource
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesinline resources, anonymous resources, contained resources
                                    30. Questionnaire.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    32. Questionnaire.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                    Summaryfalse
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    34. Questionnaire.url
                                    Definition

                                    ベースURL/Questionnaire/入力フォーム識別子 を設定する。例)http://e-path.jp/fhir/ePath/Questionnaire/CN05I00511-0.1(CN05I00511-0 の 病日1用の入力フォームテンプレートを表す)

                                    ShortベースURL/Questionnaire/入力フォーム識別子 を設定する。
                                    Comments

                                    The name of the referenced questionnaire can be conveyed using the http://hl7.org/fhir/StructureDefinition/display extension.

                                    Control1..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summarytrue
                                    Requirements

                                    … This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    36. Questionnaire.identifier
                                    Definition

                                    A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.

                                    ShortAdditional identifier for the questionnaire
                                    Comments

                                    Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.

                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control1..*
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows externally provided and/or usable business identifiers to be easily associated with the module.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Questionnaire.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ system
                                    • 38. Questionnaire.identifier:eventQuisId
                                      Slice NameeventQuisId
                                      Definition

                                      入力フォーム単位の識別子

                                      Short入力フォーム単位の識別子
                                      Comments

                                      Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.

                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control1..1
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Allows externally provided and/or usable business identifiers to be easily associated with the module.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      40. Questionnaire.identifier:eventQuisId.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      42. Questionnaire.identifier:eventQuisId.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Questionnaire.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 44. Questionnaire.identifier:eventQuisId.use
                                        Definition

                                        The purpose of this identifier.

                                        Shortusual | official | temp | secondary | old (If known)
                                        Comments

                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                        Control0..1
                                        BindingThe codes SHALL be taken from IdentifierUse
                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                        Identifies the purpose for this identifier, if known .

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        46. Questionnaire.identifier:eventQuisId.type
                                        Definition

                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                        ShortDescription of identifier
                                        Comments

                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                        Control0..1
                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows users to make use of identifiers when the identifier system is not known.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        48. Questionnaire.identifier:eventQuisId.system
                                        Definition

                                        固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-id を設定する。

                                        Short固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-id を設定する。
                                        Comments

                                        Identifier.system is always case sensitive.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                        Fixed Valuehttp://e-path.jp/fhir/ePath/IdSystem/quis-id
                                        ExampleGeneral: http://www.acme.com/identifiers/patient
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        50. Questionnaire.identifier:eventQuisId.value
                                        Definition

                                        入力フォーム単位の識別子

                                        Short入力フォーム単位の識別子
                                        Comments

                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                        Control1..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        ExampleGeneral: 123456
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        52. Questionnaire.identifier:eventQuisId.period
                                        Definition

                                        Time period during which identifier is/was valid for use.

                                        ShortTime period when id is/was valid for use
                                        Control0..1
                                        TypePeriod
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        54. Questionnaire.identifier:eventQuisId.assigner
                                        Definition

                                        Organization that issued/manages the identifier.

                                        ShortOrganization that issued id (may be just text)
                                        Comments

                                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                        Control0..1
                                        TypeReference(Organization)
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        56. Questionnaire.version
                                        Definition

                                        The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

                                        ShortBusiness version of the questionnaire
                                        Comments

                                        There may be different questionnaire instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the questionnaire with the format [url]|[version].

                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        58. Questionnaire.name
                                        Definition

                                        A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation.

                                        ShortName for this questionnaire (computer friendly)
                                        Comments

                                        The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                                        Control0..1
                                        This element is affected by the following invariants: inv-0
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Support human navigation and code generation.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        60. Questionnaire.title
                                        Definition

                                        入力フォームのタイトルを設定する。

                                        Short入力フォームタイトル
                                        Comments

                                        This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

                                        Control1..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        62. Questionnaire.derivedFrom
                                        Definition

                                        The URL of a Questionnaire that this Questionnaire is based on.

                                        ShortInstantiates protocol or definition
                                        Control0..*
                                        Typecanonical(Questionnaire)
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Requirements

                                        Allows a Questionnaire to be created based on another Questionnaire.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        64. Questionnaire.status
                                        Definition

                                        The status of this questionnaire. Enables tracking the life-cycle of the content.

                                        Shortdraft | active | retired | unknown
                                        Comments

                                        Allows filtering of questionnaires that are appropriate for use versus not.

                                        Control1..1
                                        BindingThe codes SHALL be taken from PublicationStatus
                                        (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

                                        The lifecycle status of an artifact.

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        66. Questionnaire.experimental
                                        Definition

                                        A Boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

                                        ShortFor testing purposes, not real usage
                                        Comments

                                        Allows filtering of questionnaires that are appropriate for use versus not.

                                        Control0..1
                                        Typeboolean
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Enables experimental content to be developed following the same lifecycle that would be used for a production-level questionnaire.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        68. Questionnaire.subjectType
                                        Definition

                                        The types of subjects that can be the subject of responses created for the questionnaire.

                                        ShortResource that can be subject of QuestionnaireResponse
                                        Comments

                                        If none are specified, then the subject is unlimited.

                                        Control0..*
                                        BindingThe codes SHALL be taken from ResourceType
                                        (required to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

                                        One of the resource types defined as part of this version of FHIR.

                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        70. Questionnaire.date
                                        Definition

                                        The date (and optionally time) when the questionnaire was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the questionnaire changes.

                                        ShortDate last changed
                                        Comments

                                        Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

                                        Control0..1
                                        TypedateTime
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Alternate NamesRevision Date
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        72. Questionnaire.publisher
                                        Definition

                                        The name of the organization or individual that published the questionnaire.

                                        ShortName of the publisher (organization or individual)
                                        Comments

                                        Usually an organization but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context.

                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Helps establish the "authority/credibility" of the questionnaire. May also allow for contact.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        74. Questionnaire.contact
                                        Definition

                                        Contact details to assist a user in finding and communicating with the publisher.

                                        ShortContact details for the publisher
                                        Comments

                                        May be a web site, an email address, a telephone number, etc.

                                        Control0..*
                                        TypeContactDetail
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        76. Questionnaire.description
                                        Definition

                                        ヒューマンリーダブルな形式で入力フォームの説明を設定する。

                                        Short入力フォームの説明
                                        Comments

                                        This description can be used to capture details such as why the questionnaire was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the questionnaire is presumed to be the predominant language in the place the questionnaire was created).

                                        Control0..1
                                        Typemarkdown
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        78. Questionnaire.useContext
                                        Definition

                                        The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate questionnaire instances.

                                        ShortThe context that the content is intended to support
                                        Comments

                                        When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                                        Control0..*
                                        TypeUsageContext
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Assist in searching for appropriate content.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        80. Questionnaire.jurisdiction
                                        Definition

                                        A legal or geographic region in which the questionnaire is intended to be used.

                                        ShortIntended jurisdiction for questionnaire (if applicable)
                                        Comments

                                        It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended.

                                        Control0..*
                                        BindingUnless not suitable, these codes SHALL be taken from Jurisdiction ValueSet
                                        (extensible to http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1)

                                        Countries and regions within which this artifact is targeted for use.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        82. Questionnaire.purpose
                                        Definition

                                        Explanation of why this questionnaire is needed and why it has been designed as it has.

                                        ShortWhy this questionnaire is defined
                                        Comments

                                        This element does not describe the usage of the questionnaire. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this questionnaire.

                                        Control0..1
                                        Typemarkdown
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        84. Questionnaire.copyright
                                        Definition

                                        A copyright statement relating to the questionnaire and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the questionnaire.

                                        ShortUse and/or publishing restrictions
                                        Control0..1
                                        Typemarkdown
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Requirements

                                        Consumers must be able to determine any legal restrictions on the use of the questionnaire and/or its content.

                                        Alternate NamesLicense, Restrictions
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        86. Questionnaire.approvalDate
                                        Definition

                                        The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

                                        ShortWhen the questionnaire was approved by publisher
                                        Comments

                                        The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

                                        Control0..1
                                        Typedate
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        88. Questionnaire.lastReviewDate
                                        Definition

                                        The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

                                        ShortWhen the questionnaire was last reviewed
                                        Comments

                                        If specified, this date follows the original approval date.

                                        Control0..1
                                        Typedate
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Requirements

                                        Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        90. Questionnaire.effectivePeriod
                                        Definition

                                        The period during which the questionnaire content was or is planned to be in active use.

                                        ShortWhen the questionnaire is expected to be used
                                        Comments

                                        The effective period for a questionnaire determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

                                        Control0..1
                                        TypePeriod
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the questionnaire are or are expected to be used instead.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        92. Questionnaire.code
                                        Definition

                                        An identifier for this question or group of questions in a particular terminology such as LOINC.

                                        ShortConcept that represents the overall questionnaire
                                        Control0..*
                                        BindingFor example codes, see QuestionnaireQuestionCodes
                                        (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                        Codes for questionnaires, groups and individual questions.

                                        TypeCoding
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows linking of the complete Questionnaire resources to formal terminologies. It's common for "panels" of questions to be identified by a code.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        94. Questionnaire.item
                                        Definition

                                        1階層目にOATユニット、2階層目を観察項目の内容を設定する。入力コントロールの定義(ePathメッセージの観察項目結果値定義)は、ElementDefinitionではなく、拡張で対応する。

                                        Short入力コントロール
                                        Comments

                                        The content of the questionnaire is constructed from an ordered, hierarchical collection of items.

                                        Control0..*
                                        This element is affected by the following invariants: que-3
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        que-1: Group items must have nested items, display items cannot have nested items ((type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty()))
                                        que-3: Display items cannot have a "code" asserted (type!='display' or code.empty())
                                        que-4: A question cannot have both answerOption and answerValueSet (answerOption.empty() or answerValueSet.empty())
                                        que-5: Only 'choice' and 'open-choice' items can have answerValueSet ((type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty()))
                                        que-6: Required and repeat aren't permitted for display items (type!='display' or (required.empty() and repeats.empty()))
                                        que-8: Initial values can't be specified for groups or display items ((type!='group' and type!='display') or initial.empty())
                                        que-9: Read-only can't be specified for "display" items (type!='display' or readOnly.empty())
                                        que-10: Maximum length can only be declared for simple question types ((type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty())
                                        que-11: If one or more answerOption is present, initial[x] must be missing (answerOption.empty() or initial.empty())
                                        que-12: If there are more than one enableWhen, enableBehavior must be specified (enableWhen.count() > 2 implies enableBehavior.exists())
                                        que-13: Can only have multiple initial values for repeating items (repeats=true or initial.count() <= 1)
                                        SlicingThis element introduces a set of slices on Questionnaire.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ type
                                        • 96. Questionnaire.item.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          98. Questionnaire.item.extension
                                          Definition

                                          An Extension

                                          ShortExtension
                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Questionnaire.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 100. Questionnaire.item.extension:ePathQuestionnaireItemExtensions
                                            Slice NameePathQuestionnaireItemExtensions
                                            Definition

                                            観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

                                            Short観察項目結果値定義
                                            Control0..*
                                            This element is affected by the following invariants: ele-1
                                            TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                                            Is Modifierfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            102. Questionnaire.item.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            104. Questionnaire.item.linkId
                                            Definition

                                            An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

                                            ShortUnique id for item in questionnaire
                                            Comments

                                            This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

                                            Control1..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            106. Questionnaire.item.definition
                                            Definition

                                            This element is a URI that refers to an ElementDefinition that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:

                                            • code (ElementDefinition.code)
                                            • type (ElementDefinition.type)
                                            • required (ElementDefinition.min)
                                            • repeats (ElementDefinition.max)
                                            • maxLength (ElementDefinition.maxLength)
                                            • answerValueSet (ElementDefinition.binding)
                                            • options (ElementDefinition.binding).
                                            ShortElementDefinition - details for the item
                                            Comments

                                            The uri refers to an ElementDefinition in a StructureDefinition and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id Element.id. E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.

                                            Control0..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            108. Questionnaire.item.code
                                            Definition

                                            A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                            ShortCorresponding concept for this item in a terminology
                                            Comments

                                            The value may come from the ElementDefinition referred to by .definition.

                                            Control0..*
                                            This element is affected by the following invariants: que-3
                                            BindingFor example codes, see QuestionnaireQuestionCodes
                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                            Codes for questionnaires, groups and individual questions.

                                            TypeCoding
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Allows linking of groups of questions to formal terminologies.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            110. Questionnaire.item.prefix
                                            Definition

                                            A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

                                            ShortE.g. "1(a)", "2.5.3"
                                            Comments

                                            These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically, these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

                                            Alternate Nameslabel
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            112. Questionnaire.item.text
                                            Definition

                                            The name of a section, the text of a question or text content for a display item.

                                            ShortPrimary text for the item
                                            Comments

                                            When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            114. Questionnaire.item.type
                                            Definition

                                            The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

                                            Shortgroup | display | boolean | decimal | integer | date | dateTime +
                                            Comments

                                            Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                                            Control1..1
                                            BindingThe codes SHALL be taken from QuestionnaireItemType
                                            (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                                            Distinguishes groups from questions and display text and indicates data type for questions.

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            Defines the format in which the user is to be prompted for the answer.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            116. Questionnaire.item.enableWhen
                                            Definition

                                            A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                                            ShortOnly allow data when
                                            Comments

                                            If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                                            Summaryfalse
                                            Requirements

                                            Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                                            118. Questionnaire.item.enableWhen.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            120. Questionnaire.item.enableWhen.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            122. Questionnaire.item.enableWhen.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            124. Questionnaire.item.enableWhen.question
                                            Definition

                                            The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                                            ShortQuestion that determines whether item is enabled
                                            Comments

                                            If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                                            Control1..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            126. Questionnaire.item.enableWhen.operator
                                            Definition

                                            Specifies the criteria by which the question is enabled.

                                            Shortexists | = | != | > | < | >= | <=
                                            Control1..1
                                            BindingThe codes SHALL be taken from QuestionnaireItemOperator
                                            (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                                            The criteria by which a question is enabled.

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            128. Questionnaire.item.enableWhen.answer[x]
                                            Definition

                                            A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                                            ShortValue for question comparison based on operator
                                            Control1..1
                                            This element is affected by the following invariants: que-7
                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                            Allowed values to answer questions.

                                            TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            130. Questionnaire.item.enableBehavior
                                            Definition

                                            Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                            Shortall | any
                                            Comments

                                            This element must be specified if more than one enableWhen value is provided.

                                            Control0..1
                                            This element is affected by the following invariants: que-12
                                            BindingThe codes SHALL be taken from EnableWhenBehavior
                                            (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1)

                                            Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            132. Questionnaire.item.required
                                            Definition

                                            An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

                                            ShortWhether the item must be included in data results
                                            Comments

                                            Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.

                                            Control0..1
                                            This element is affected by the following invariants: que-6
                                            Typeboolean
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Meaning if MissingItems are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            134. Questionnaire.item.repeats
                                            Definition

                                            An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

                                            ShortWhether the item may repeat
                                            Comments

                                            If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. "repeat the question") or to simply allow entry/selection of multiple answers for the question (repeat the answers). Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.

                                            The resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.

                                            The value may come from the ElementDefinition referred to by .definition.

                                            Control0..1
                                            This element is affected by the following invariants: que-6
                                            Typeboolean
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

                                            Meaning if MissingItems are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            136. Questionnaire.item.readOnly
                                            Definition

                                            An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

                                            ShortDon't allow human editing
                                            Comments

                                            The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.

                                            Control0..1
                                            This element is affected by the following invariants: que-9
                                            Typeboolean
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            138. Questionnaire.item.maxLength
                                            Definition

                                            The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

                                            ShortNo more than this many characters
                                            Comments

                                            For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.

                                            Control0..1
                                            This element is affected by the following invariants: que-10
                                            Typeinteger
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            140. Questionnaire.item.answerValueSet
                                            Definition

                                            A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                                            ShortValueset containing permitted answers
                                            Comments

                                            LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                                            Control0..1
                                            This element is affected by the following invariants: que-4, que-5
                                            Typecanonical(ValueSet)
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            142. Questionnaire.item.answerOption
                                            Definition

                                            One of the permitted answers for a "choice" or "open-choice" question.

                                            ShortPermitted answer
                                            Comments

                                            This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                                            Control0..*
                                            This element is affected by the following invariants: que-4, que-5
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            144. Questionnaire.item.answerOption.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            146. Questionnaire.item.answerOption.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            148. Questionnaire.item.answerOption.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            150. Questionnaire.item.answerOption.value[x]
                                            Definition

                                            A potential answer that's allowed as the answer to this question.

                                            ShortAnswer value
                                            Comments

                                            The data type of the value must agree with the item.type.

                                            Control1..1
                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                            Allowed values to answer questions.

                                            TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            152. Questionnaire.item.answerOption.initialSelected
                                            Definition

                                            Indicates whether the answer value is selected when the list of possible answers is initially shown.

                                            ShortWhether option is selected by default
                                            Comments

                                            Use this instead of initial[v] if answerValueSet is present.

                                            Control0..1
                                            Typeboolean
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Meaning if MissingOnly selected items explicitly marked to be selected
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            154. Questionnaire.item.initial
                                            Definition

                                            One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                                            ShortInitial value(s) when item is first rendered
                                            Comments

                                            The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                                            Control0..*
                                            This element is affected by the following invariants: que-8, que-13
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            In some workflows, having defaults saves time.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            156. Questionnaire.item.initial.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            158. Questionnaire.item.initial.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            160. Questionnaire.item.initial.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            162. Questionnaire.item.initial.value[x]
                                            Definition

                                            The actual value to for an initial answer.

                                            ShortActual value for initializing the question
                                            Comments

                                            The type of the initial value must be consistent with the type of the item.

                                            Control1..1
                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                            Allowed values to answer questions.

                                            TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            164. Questionnaire.item.item
                                            Definition

                                            Text, questions and other groups to be nested beneath a question or group.

                                            ShortNested questionnaire items
                                            Comments

                                            There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                            Control0..*
                                            This element is affected by the following invariants: que-1
                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Reports can consist of complex nested groups.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            166. Questionnaire.item:oatUnit
                                            Slice NameoatUnit
                                            Definition

                                            フォームグループ(OATユニット単位)

                                            Shortフォームグループ(OATユニット単位)
                                            Comments

                                            The content of the questionnaire is constructed from an ordered, hierarchical collection of items.

                                            Control0..*
                                            This element is affected by the following invariants: que-3
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            que-1: Group items must have nested items, display items cannot have nested items ((type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty()))
                                            que-3: Display items cannot have a "code" asserted (type!='display' or code.empty())
                                            que-4: A question cannot have both answerOption and answerValueSet (answerOption.empty() or answerValueSet.empty())
                                            que-5: Only 'choice' and 'open-choice' items can have answerValueSet ((type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty()))
                                            que-6: Required and repeat aren't permitted for display items (type!='display' or (required.empty() and repeats.empty()))
                                            que-8: Initial values can't be specified for groups or display items ((type!='group' and type!='display') or initial.empty())
                                            que-9: Read-only can't be specified for "display" items (type!='display' or readOnly.empty())
                                            que-10: Maximum length can only be declared for simple question types ((type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty())
                                            que-11: If one or more answerOption is present, initial[x] must be missing (answerOption.empty() or initial.empty())
                                            que-12: If there are more than one enableWhen, enableBehavior must be specified (enableWhen.count() > 2 implies enableBehavior.exists())
                                            que-13: Can only have multiple initial values for repeating items (repeats=true or initial.count() <= 1)
                                            168. Questionnaire.item:oatUnit.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            170. Questionnaire.item:oatUnit.extension
                                            Definition

                                            An Extension

                                            ShortExtension
                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Questionnaire.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 172. Questionnaire.item:oatUnit.extension:ePathQuestionnaireItemExtensions
                                              Slice NameePathQuestionnaireItemExtensions
                                              Definition

                                              観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

                                              Short観察項目結果値定義
                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                                              Is Modifierfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              174. Questionnaire.item:oatUnit.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              176. Questionnaire.item:oatUnit.linkId
                                              Definition

                                              OATユニット識別子[-リピート番号]を半角ピリオド"."で連結したものを設定する。

                                              ShortOATユニット識別子[-リピート番号]を半角ピリオド"."で連結したものを設定する。
                                              Comments

                                              This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

                                              Control1..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summaryfalse
                                              Requirements

                                              QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              178. Questionnaire.item:oatUnit.definition
                                              Definition

                                              This element is a URI that refers to an ElementDefinition that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:

                                              • code (ElementDefinition.code)
                                              • type (ElementDefinition.type)
                                              • required (ElementDefinition.min)
                                              • repeats (ElementDefinition.max)
                                              • maxLength (ElementDefinition.maxLength)
                                              • answerValueSet (ElementDefinition.binding)
                                              • options (ElementDefinition.binding).
                                              ShortElementDefinition - details for the item
                                              Comments

                                              The uri refers to an ElementDefinition in a StructureDefinition and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id Element.id. E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.

                                              Control0..1
                                              Typeuri
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              Requirements

                                              A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              180. Questionnaire.item:oatUnit.code
                                              Definition

                                              A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                              ShortCorresponding concept for this item in a terminology
                                              Comments

                                              The value may come from the ElementDefinition referred to by .definition.

                                              Control0..*
                                              This element is affected by the following invariants: que-3
                                              BindingFor example codes, see QuestionnaireQuestionCodes
                                              (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                              Codes for questionnaires, groups and individual questions.

                                              TypeCoding
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Allows linking of groups of questions to formal terminologies.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on Questionnaire.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ system
                                              • 182. Questionnaire.item:oatUnit.code:BOMCategory
                                                Slice NameBOMCategory
                                                Definition

                                                BOM大分類コード・名称 「BOM大分類コード」より設定する。

                                                ShortBOM大分類コード・名称
                                                Comments

                                                The value may come from the ElementDefinition referred to by .definition.

                                                Control0..1
                                                This element is affected by the following invariants: que-3
                                                BindingThe codes SHOULD be taken from EPath OutcomeCategory VS
                                                (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeCategoryVS)
                                                TypeCoding
                                                Is Modifierfalse
                                                Summaryfalse
                                                Requirements

                                                Allows linking of groups of questions to formal terminologies.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                184. Questionnaire.item:oatUnit.code:BOMCategory.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                186. Questionnaire.item:oatUnit.code:BOMCategory.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Questionnaire.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 188. Questionnaire.item:oatUnit.code:BOMCategory.system
                                                  Definition

                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                  ShortIdentity of the terminology system
                                                  Comments

                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeCategoryCS
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  190. Questionnaire.item:oatUnit.code:BOMCategory.version
                                                  Definition

                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                  ShortVersion of the system - if relevant
                                                  Comments

                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  192. Questionnaire.item:oatUnit.code:BOMCategory.code
                                                  Definition

                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                  ShortSymbol in syntax defined by the system
                                                  Control1..1
                                                  Typecode
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  Need to refer to a particular code in the system.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  194. Questionnaire.item:oatUnit.code:BOMCategory.display
                                                  Definition

                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                  ShortRepresentation defined by the system
                                                  Control1..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  196. Questionnaire.item:oatUnit.code:BOMCategory.userSelected
                                                  Definition

                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                  ShortIf this coding was chosen directly by the user
                                                  Comments

                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                  Control0..1
                                                  Typeboolean
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  198. Questionnaire.item:oatUnit.code:LocalCategory
                                                  Slice NameLocalCategory
                                                  Definition

                                                  アウトカム大分類コード・名称

                                                  Shortアウトカム大分類コード・名称
                                                  Comments

                                                  The value may come from the ElementDefinition referred to by .definition.

                                                  Control0..1
                                                  This element is affected by the following invariants: que-3
                                                  BindingFor example codes, see QuestionnaireQuestionCodes
                                                  (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                  Codes for questionnaires, groups and individual questions.

                                                  TypeCoding
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Allows linking of groups of questions to formal terminologies.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  200. Questionnaire.item:oatUnit.code:LocalCategory.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  202. Questionnaire.item:oatUnit.code:LocalCategory.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Questionnaire.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 204. Questionnaire.item:oatUnit.code:LocalCategory.system
                                                    Definition

                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                    ShortIdentity of the terminology system
                                                    Comments

                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                    Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeCategoryCS
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    206. Questionnaire.item:oatUnit.code:LocalCategory.version
                                                    Definition

                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                    ShortVersion of the system - if relevant
                                                    Comments

                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    208. Questionnaire.item:oatUnit.code:LocalCategory.code
                                                    Definition

                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                    ShortSymbol in syntax defined by the system
                                                    Control1..1
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to refer to a particular code in the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    210. Questionnaire.item:oatUnit.code:LocalCategory.display
                                                    Definition

                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                    ShortRepresentation defined by the system
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    212. Questionnaire.item:oatUnit.code:LocalCategory.userSelected
                                                    Definition

                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                    ShortIf this coding was chosen directly by the user
                                                    Comments

                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                    Control0..1
                                                    Typeboolean
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    214. Questionnaire.item:oatUnit.code:BOMSubCategory
                                                    Slice NameBOMSubCategory
                                                    Definition

                                                    BOM中分類コード・名称 「BOM中分類コード」より設定する。

                                                    ShortBOM中分類コード・名称
                                                    Comments

                                                    The value may come from the ElementDefinition referred to by .definition.

                                                    Control0..1
                                                    This element is affected by the following invariants: que-3
                                                    BindingThe codes SHOULD be taken from EPath OutcomeSubCategory VS
                                                    (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeSubCategoryVS)
                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Allows linking of groups of questions to formal terminologies.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    216. Questionnaire.item:oatUnit.code:BOMSubCategory.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    218. Questionnaire.item:oatUnit.code:BOMSubCategory.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                    ShortAdditional content defined by implementations
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesextensions, user content
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Questionnaire.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 220. Questionnaire.item:oatUnit.code:BOMSubCategory.system
                                                      Definition

                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                      ShortIdentity of the terminology system
                                                      Comments

                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                      Control1..1
                                                      Typeuri
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Requirements

                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                      Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeSubCategoryCS
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      222. Questionnaire.item:oatUnit.code:BOMSubCategory.version
                                                      Definition

                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                      ShortVersion of the system - if relevant
                                                      Comments

                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      224. Questionnaire.item:oatUnit.code:BOMSubCategory.code
                                                      Definition

                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                      ShortSymbol in syntax defined by the system
                                                      Control1..1
                                                      Typecode
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      Summarytrue
                                                      Requirements

                                                      Need to refer to a particular code in the system.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      226. Questionnaire.item:oatUnit.code:BOMSubCategory.display
                                                      Definition

                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                      ShortRepresentation defined by the system
                                                      Control1..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      Summarytrue
                                                      Requirements

                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      228. Questionnaire.item:oatUnit.code:BOMSubCategory.userSelected
                                                      Definition

                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                      ShortIf this coding was chosen directly by the user
                                                      Comments

                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                      Control0..1
                                                      Typeboolean
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Requirements

                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      230. Questionnaire.item:oatUnit.code:LocalSubCategory
                                                      Slice NameLocalSubCategory
                                                      Definition

                                                      アウトカム中分類コード・名称

                                                      Shortアウトカム中分類コード・名称
                                                      Comments

                                                      The value may come from the ElementDefinition referred to by .definition.

                                                      Control0..1
                                                      This element is affected by the following invariants: que-3
                                                      BindingFor example codes, see QuestionnaireQuestionCodes
                                                      (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                      Codes for questionnaires, groups and individual questions.

                                                      TypeCoding
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Requirements

                                                      Allows linking of groups of questions to formal terminologies.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      232. Questionnaire.item:oatUnit.code:LocalSubCategory.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      234. Questionnaire.item:oatUnit.code:LocalSubCategory.extension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on Questionnaire.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 236. Questionnaire.item:oatUnit.code:LocalSubCategory.system
                                                        Definition

                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                        ShortIdentity of the terminology system
                                                        Comments

                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                        Control1..1
                                                        Typeuri
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Requirements

                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                        Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeSubCategoryCS
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        238. Questionnaire.item:oatUnit.code:LocalSubCategory.version
                                                        Definition

                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                        ShortVersion of the system - if relevant
                                                        Comments

                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        240. Questionnaire.item:oatUnit.code:LocalSubCategory.code
                                                        Definition

                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                        ShortSymbol in syntax defined by the system
                                                        Control1..1
                                                        Typecode
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Need to refer to a particular code in the system.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        242. Questionnaire.item:oatUnit.code:LocalSubCategory.display
                                                        Definition

                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                        ShortRepresentation defined by the system
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        244. Questionnaire.item:oatUnit.code:LocalSubCategory.userSelected
                                                        Definition

                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                        ShortIf this coding was chosen directly by the user
                                                        Comments

                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                        Control0..1
                                                        Typeboolean
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Requirements

                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        246. Questionnaire.item:oatUnit.code:BOMOutcomeCode
                                                        Slice NameBOMOutcomeCode
                                                        Definition

                                                        BOMアウトカムコード・名称 「BOMアウトカムコード」より設定する。 コード一覧で示すコード・名称が設定できない場合、施設等のローカル内で定めたローカルコード・名称・コード体系を設定してもよい。

                                                        ShortBOMアウトカムコード・名称
                                                        Comments

                                                        The value may come from the ElementDefinition referred to by .definition.

                                                        Control0..1
                                                        This element is affected by the following invariants: que-3
                                                        BindingThe codes SHOULD be taken from EPath OutcomeCode VS
                                                        (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathOutcomeCodeVS)
                                                        TypeCoding
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Requirements

                                                        Allows linking of groups of questions to formal terminologies.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        248. Questionnaire.item:oatUnit.code:BOMOutcomeCode.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        250. Questionnaire.item:oatUnit.code:BOMOutcomeCode.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Questionnaire.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 252. Questionnaire.item:oatUnit.code:BOMOutcomeCode.system
                                                          Definition

                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                          ShortIdentity of the terminology system
                                                          Comments

                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                          Control1..1
                                                          Typeuri
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMOutcomeCodeCS
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          254. Questionnaire.item:oatUnit.code:BOMOutcomeCode.version
                                                          Definition

                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                          ShortVersion of the system - if relevant
                                                          Comments

                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          256. Questionnaire.item:oatUnit.code:BOMOutcomeCode.code
                                                          Definition

                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                          ShortSymbol in syntax defined by the system
                                                          Control1..1
                                                          Typecode
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Requirements

                                                          Need to refer to a particular code in the system.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          258. Questionnaire.item:oatUnit.code:BOMOutcomeCode.display
                                                          Definition

                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                          ShortRepresentation defined by the system
                                                          Control1..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Requirements

                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          260. Questionnaire.item:oatUnit.code:BOMOutcomeCode.userSelected
                                                          Definition

                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                          ShortIf this coding was chosen directly by the user
                                                          Comments

                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                          Control0..1
                                                          Typeboolean
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          262. Questionnaire.item:oatUnit.code:LocalOutcomeCode
                                                          Slice NameLocalOutcomeCode
                                                          Definition

                                                          アウトカムコード・名称

                                                          Shortアウトカムコード・名称
                                                          Comments

                                                          The value may come from the ElementDefinition referred to by .definition.

                                                          Control0..1
                                                          This element is affected by the following invariants: que-3
                                                          BindingFor example codes, see QuestionnaireQuestionCodes
                                                          (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                          Codes for questionnaires, groups and individual questions.

                                                          TypeCoding
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Requirements

                                                          Allows linking of groups of questions to formal terminologies.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          264. Questionnaire.item:oatUnit.code:LocalOutcomeCode.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          266. Questionnaire.item:oatUnit.code:LocalOutcomeCode.extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Questionnaire.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 268. Questionnaire.item:oatUnit.code:LocalOutcomeCode.system
                                                            Definition

                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                            ShortIdentity of the terminology system
                                                            Comments

                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                            Control1..1
                                                            Typeuri
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                            Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalOutcomeCodeCS
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            270. Questionnaire.item:oatUnit.code:LocalOutcomeCode.version
                                                            Definition

                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                            ShortVersion of the system - if relevant
                                                            Comments

                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            272. Questionnaire.item:oatUnit.code:LocalOutcomeCode.code
                                                            Definition

                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                            ShortSymbol in syntax defined by the system
                                                            Control1..1
                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Requirements

                                                            Need to refer to a particular code in the system.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            274. Questionnaire.item:oatUnit.code:LocalOutcomeCode.display
                                                            Definition

                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                            ShortRepresentation defined by the system
                                                            Control1..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Requirements

                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            276. Questionnaire.item:oatUnit.code:LocalOutcomeCode.userSelected
                                                            Definition

                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                            ShortIf this coding was chosen directly by the user
                                                            Comments

                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                            Control0..1
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            278. Questionnaire.item:oatUnit.prefix
                                                            Definition

                                                            A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

                                                            ShortE.g. "1(a)", "2.5.3"
                                                            Comments

                                                            These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically, these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.

                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Requirements

                                                            Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

                                                            Alternate Nameslabel
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            280. Questionnaire.item:oatUnit.text
                                                            Definition

                                                            アウトカムコード表記

                                                            Shortアウトカムコード表記
                                                            Comments

                                                            When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                                                            Control1..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            282. Questionnaire.item:oatUnit.type
                                                            Definition

                                                            groupを指定する。

                                                            Shortgroup
                                                            Comments

                                                            Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                                                            Control1..1
                                                            BindingThe codes SHALL be taken from QuestionnaireItemType
                                                            (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                                                            Distinguishes groups from questions and display text and indicates data type for questions.

                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Requirements

                                                            Defines the format in which the user is to be prompted for the answer.

                                                            Fixed Valuegroup
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            284. Questionnaire.item:oatUnit.enableWhen
                                                            Definition

                                                            A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                                                            ShortOnly allow data when
                                                            Comments

                                                            If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                                                            Control0..*
                                                            TypeBackboneElement
                                                            Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                                                            Summaryfalse
                                                            Requirements

                                                            Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                                                            286. Questionnaire.item:oatUnit.enableWhen.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            288. Questionnaire.item:oatUnit.enableWhen.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            290. Questionnaire.item:oatUnit.enableWhen.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            292. Questionnaire.item:oatUnit.enableWhen.question
                                                            Definition

                                                            The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                                                            ShortQuestion that determines whether item is enabled
                                                            Comments

                                                            If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                                                            Control1..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            294. Questionnaire.item:oatUnit.enableWhen.operator
                                                            Definition

                                                            Specifies the criteria by which the question is enabled.

                                                            Shortexists | = | != | > | < | >= | <=
                                                            Control1..1
                                                            BindingThe codes SHALL be taken from QuestionnaireItemOperator
                                                            (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                                                            The criteria by which a question is enabled.

                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            296. Questionnaire.item:oatUnit.enableWhen.answer[x]
                                                            Definition

                                                            A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                                                            ShortValue for question comparison based on operator
                                                            Control1..1
                                                            This element is affected by the following invariants: que-7
                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                            Allowed values to answer questions.

                                                            TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            298. Questionnaire.item:oatUnit.enableBehavior
                                                            Definition

                                                            Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                            Shortall | any
                                                            Comments

                                                            This element must be specified if more than one enableWhen value is provided.

                                                            Control0..1
                                                            This element is affected by the following invariants: que-12
                                                            BindingThe codes SHALL be taken from EnableWhenBehavior
                                                            (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1)

                                                            Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            300. Questionnaire.item:oatUnit.required
                                                            Definition

                                                            An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

                                                            ShortWhether the item must be included in data results
                                                            Comments

                                                            Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.

                                                            Control0..1
                                                            This element is affected by the following invariants: que-6
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Meaning if MissingItems are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            302. Questionnaire.item:oatUnit.repeats
                                                            Definition

                                                            An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

                                                            ShortWhether the item may repeat
                                                            Comments

                                                            If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. "repeat the question") or to simply allow entry/selection of multiple answers for the question (repeat the answers). Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.

                                                            The resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.

                                                            The value may come from the ElementDefinition referred to by .definition.

                                                            Control0..1
                                                            This element is affected by the following invariants: que-6
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Requirements

                                                            Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

                                                            Meaning if MissingItems are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            304. Questionnaire.item:oatUnit.readOnly
                                                            Definition

                                                            An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

                                                            ShortDon't allow human editing
                                                            Comments

                                                            The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.

                                                            Control0..1
                                                            This element is affected by the following invariants: que-9
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Requirements

                                                            Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            306. Questionnaire.item:oatUnit.maxLength
                                                            Definition

                                                            The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

                                                            ShortNo more than this many characters
                                                            Comments

                                                            For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.

                                                            Control0..1
                                                            This element is affected by the following invariants: que-10
                                                            Typeinteger
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            308. Questionnaire.item:oatUnit.answerValueSet
                                                            Definition

                                                            A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                                                            ShortValueset containing permitted answers
                                                            Comments

                                                            LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                                                            Control0..1
                                                            This element is affected by the following invariants: que-4, que-5
                                                            Typecanonical(ValueSet)
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            310. Questionnaire.item:oatUnit.answerOption
                                                            Definition

                                                            One of the permitted answers for a "choice" or "open-choice" question.

                                                            ShortPermitted answer
                                                            Comments

                                                            This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                                                            Control0..*
                                                            This element is affected by the following invariants: que-4, que-5
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            312. Questionnaire.item:oatUnit.answerOption.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            314. Questionnaire.item:oatUnit.answerOption.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            316. Questionnaire.item:oatUnit.answerOption.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            318. Questionnaire.item:oatUnit.answerOption.value[x]
                                                            Definition

                                                            A potential answer that's allowed as the answer to this question.

                                                            ShortAnswer value
                                                            Comments

                                                            The data type of the value must agree with the item.type.

                                                            Control1..1
                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                            Allowed values to answer questions.

                                                            TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            320. Questionnaire.item:oatUnit.answerOption.initialSelected
                                                            Definition

                                                            Indicates whether the answer value is selected when the list of possible answers is initially shown.

                                                            ShortWhether option is selected by default
                                                            Comments

                                                            Use this instead of initial[v] if answerValueSet is present.

                                                            Control0..1
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Meaning if MissingOnly selected items explicitly marked to be selected
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            322. Questionnaire.item:oatUnit.initial
                                                            Definition

                                                            One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                                                            ShortInitial value(s) when item is first rendered
                                                            Comments

                                                            The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                                                            Control0..*
                                                            This element is affected by the following invariants: que-8, que-13
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Requirements

                                                            In some workflows, having defaults saves time.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            324. Questionnaire.item:oatUnit.initial.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            326. Questionnaire.item:oatUnit.initial.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            328. Questionnaire.item:oatUnit.initial.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            330. Questionnaire.item:oatUnit.initial.value[x]
                                                            Definition

                                                            The actual value to for an initial answer.

                                                            ShortActual value for initializing the question
                                                            Comments

                                                            The type of the initial value must be consistent with the type of the item.

                                                            Control1..1
                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                            Allowed values to answer questions.

                                                            TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            332. Questionnaire.item:oatUnit.item
                                                            Definition

                                                            1階層目にOATユニット、2階層目を観察項目の内容を設定する。入力コントロールの定義(ePathメッセージの観察項目結果値定義)は、ElementDefinitionではなく、拡張で対応する。

                                                            Short入力コントロール
                                                            Comments

                                                            There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                                            Control0..*
                                                            This element is affected by the following invariants: que-1
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Requirements

                                                            Reports can consist of complex nested groups.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on Questionnaire.item.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ type
                                                            • 334. Questionnaire.item:oatUnit.item.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              336. Questionnaire.item:oatUnit.item.extension
                                                              Definition

                                                              An Extension

                                                              ShortExtension
                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Questionnaire.item.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 338. Questionnaire.item:oatUnit.item.extension:ePathQuestionnaireItemExtensions
                                                                Slice NameePathQuestionnaireItemExtensions
                                                                Definition

                                                                観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

                                                                Short観察項目結果値定義
                                                                Control0..*
                                                                This element is affected by the following invariants: ele-1
                                                                TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                                                                Is Modifierfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                340. Questionnaire.item:oatUnit.item.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                342. Questionnaire.item:oatUnit.item.linkId
                                                                Definition

                                                                An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

                                                                ShortUnique id for item in questionnaire
                                                                Comments

                                                                This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

                                                                Control1..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                344. Questionnaire.item:oatUnit.item.definition
                                                                Definition

                                                                This element is a URI that refers to an ElementDefinition that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:

                                                                • code (ElementDefinition.code)
                                                                • type (ElementDefinition.type)
                                                                • required (ElementDefinition.min)
                                                                • repeats (ElementDefinition.max)
                                                                • maxLength (ElementDefinition.maxLength)
                                                                • answerValueSet (ElementDefinition.binding)
                                                                • options (ElementDefinition.binding).
                                                                ShortElementDefinition - details for the item
                                                                Comments

                                                                The uri refers to an ElementDefinition in a StructureDefinition and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id Element.id. E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.

                                                                Control0..1
                                                                Typeuri
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                346. Questionnaire.item:oatUnit.item.code
                                                                Definition

                                                                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                                                ShortCorresponding concept for this item in a terminology
                                                                Comments

                                                                The value may come from the ElementDefinition referred to by .definition.

                                                                Control0..*
                                                                This element is affected by the following invariants: que-3
                                                                BindingFor example codes, see QuestionnaireQuestionCodes
                                                                (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                                Codes for questionnaires, groups and individual questions.

                                                                TypeCoding
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Allows linking of groups of questions to formal terminologies.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                348. Questionnaire.item:oatUnit.item.prefix
                                                                Definition

                                                                A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

                                                                ShortE.g. "1(a)", "2.5.3"
                                                                Comments

                                                                These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically, these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.

                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

                                                                Alternate Nameslabel
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                350. Questionnaire.item:oatUnit.item.text
                                                                Definition

                                                                The name of a section, the text of a question or text content for a display item.

                                                                ShortPrimary text for the item
                                                                Comments

                                                                When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                352. Questionnaire.item:oatUnit.item.type
                                                                Definition

                                                                The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

                                                                Shortgroup | display | boolean | decimal | integer | date | dateTime +
                                                                Comments

                                                                Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                                                                Control1..1
                                                                BindingThe codes SHALL be taken from QuestionnaireItemType
                                                                (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                                                                Distinguishes groups from questions and display text and indicates data type for questions.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Defines the format in which the user is to be prompted for the answer.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                354. Questionnaire.item:oatUnit.item.enableWhen
                                                                Definition

                                                                A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                                                                ShortOnly allow data when
                                                                Comments

                                                                If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                                                                Control0..*
                                                                TypeBackboneElement
                                                                Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                                                                Summaryfalse
                                                                Requirements

                                                                Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                                                                356. Questionnaire.item:oatUnit.item.enableWhen.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                358. Questionnaire.item:oatUnit.item.enableWhen.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                360. Questionnaire.item:oatUnit.item.enableWhen.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                362. Questionnaire.item:oatUnit.item.enableWhen.question
                                                                Definition

                                                                The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                                                                ShortQuestion that determines whether item is enabled
                                                                Comments

                                                                If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                                                                Control1..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                364. Questionnaire.item:oatUnit.item.enableWhen.operator
                                                                Definition

                                                                Specifies the criteria by which the question is enabled.

                                                                Shortexists | = | != | > | < | >= | <=
                                                                Control1..1
                                                                BindingThe codes SHALL be taken from QuestionnaireItemOperator
                                                                (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                                                                The criteria by which a question is enabled.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                366. Questionnaire.item:oatUnit.item.enableWhen.answer[x]
                                                                Definition

                                                                A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                                                                ShortValue for question comparison based on operator
                                                                Control1..1
                                                                This element is affected by the following invariants: que-7
                                                                BindingFor example codes, see QuestionnaireAnswerCodes
                                                                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                Allowed values to answer questions.

                                                                TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                368. Questionnaire.item:oatUnit.item.enableBehavior
                                                                Definition

                                                                Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                                Shortall | any
                                                                Comments

                                                                This element must be specified if more than one enableWhen value is provided.

                                                                Control0..1
                                                                This element is affected by the following invariants: que-12
                                                                BindingThe codes SHALL be taken from EnableWhenBehavior
                                                                (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1)

                                                                Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                370. Questionnaire.item:oatUnit.item.required
                                                                Definition

                                                                An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

                                                                ShortWhether the item must be included in data results
                                                                Comments

                                                                Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.

                                                                Control0..1
                                                                This element is affected by the following invariants: que-6
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Meaning if MissingItems are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                372. Questionnaire.item:oatUnit.item.repeats
                                                                Definition

                                                                An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

                                                                ShortWhether the item may repeat
                                                                Comments

                                                                If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. "repeat the question") or to simply allow entry/selection of multiple answers for the question (repeat the answers). Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.

                                                                The resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.

                                                                The value may come from the ElementDefinition referred to by .definition.

                                                                Control0..1
                                                                This element is affected by the following invariants: que-6
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

                                                                Meaning if MissingItems are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                374. Questionnaire.item:oatUnit.item.readOnly
                                                                Definition

                                                                An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

                                                                ShortDon't allow human editing
                                                                Comments

                                                                The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.

                                                                Control0..1
                                                                This element is affected by the following invariants: que-9
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                376. Questionnaire.item:oatUnit.item.maxLength
                                                                Definition

                                                                The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

                                                                ShortNo more than this many characters
                                                                Comments

                                                                For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.

                                                                Control0..1
                                                                This element is affected by the following invariants: que-10
                                                                Typeinteger
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                378. Questionnaire.item:oatUnit.item.answerValueSet
                                                                Definition

                                                                A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                                                                ShortValueset containing permitted answers
                                                                Comments

                                                                LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                                                                Control0..1
                                                                This element is affected by the following invariants: que-4, que-5
                                                                Typecanonical(ValueSet)
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                380. Questionnaire.item:oatUnit.item.answerOption
                                                                Definition

                                                                One of the permitted answers for a "choice" or "open-choice" question.

                                                                ShortPermitted answer
                                                                Comments

                                                                This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                                                                Control0..*
                                                                This element is affected by the following invariants: que-4, que-5
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                382. Questionnaire.item:oatUnit.item.answerOption.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                384. Questionnaire.item:oatUnit.item.answerOption.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                386. Questionnaire.item:oatUnit.item.answerOption.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                388. Questionnaire.item:oatUnit.item.answerOption.value[x]
                                                                Definition

                                                                A potential answer that's allowed as the answer to this question.

                                                                ShortAnswer value
                                                                Comments

                                                                The data type of the value must agree with the item.type.

                                                                Control1..1
                                                                BindingFor example codes, see QuestionnaireAnswerCodes
                                                                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                Allowed values to answer questions.

                                                                TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                390. Questionnaire.item:oatUnit.item.answerOption.initialSelected
                                                                Definition

                                                                Indicates whether the answer value is selected when the list of possible answers is initially shown.

                                                                ShortWhether option is selected by default
                                                                Comments

                                                                Use this instead of initial[v] if answerValueSet is present.

                                                                Control0..1
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Meaning if MissingOnly selected items explicitly marked to be selected
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                392. Questionnaire.item:oatUnit.item.initial
                                                                Definition

                                                                One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                                                                ShortInitial value(s) when item is first rendered
                                                                Comments

                                                                The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                                                                Control0..*
                                                                This element is affected by the following invariants: que-8, que-13
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                In some workflows, having defaults saves time.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                394. Questionnaire.item:oatUnit.item.initial.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                396. Questionnaire.item:oatUnit.item.initial.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                398. Questionnaire.item:oatUnit.item.initial.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                400. Questionnaire.item:oatUnit.item.initial.value[x]
                                                                Definition

                                                                The actual value to for an initial answer.

                                                                ShortActual value for initializing the question
                                                                Comments

                                                                The type of the initial value must be consistent with the type of the item.

                                                                Control1..1
                                                                BindingFor example codes, see QuestionnaireAnswerCodes
                                                                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                Allowed values to answer questions.

                                                                TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                402. Questionnaire.item:oatUnit.item.item
                                                                Definition

                                                                Text, questions and other groups to be nested beneath a question or group.

                                                                ShortNested questionnaire items
                                                                Comments

                                                                There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                                                Control0..*
                                                                This element is affected by the following invariants: que-1
                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Reports can consist of complex nested groups.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                404. Questionnaire.item:oatUnit.item:assessment
                                                                Slice Nameassessment
                                                                Definition

                                                                フォーム入力(観察項目単位)

                                                                Shortフォーム入力(観察項目単位)
                                                                Comments

                                                                There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                                                Control0..*
                                                                This element is affected by the following invariants: que-1
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Requirements

                                                                Reports can consist of complex nested groups.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                406. Questionnaire.item:oatUnit.item:assessment.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                408. Questionnaire.item:oatUnit.item:assessment.extension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Questionnaire.item.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 410. Questionnaire.item:oatUnit.item:assessment.extension:ePathQuestionnaireItemExtensions
                                                                  Slice NameePathQuestionnaireItemExtensions
                                                                  Definition

                                                                  観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

                                                                  Short観察項目結果値定義
                                                                  Control0..*
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                                                                  Is Modifierfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  412. Questionnaire.item:oatUnit.item:assessment.modifierExtension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                  Summarytrue
                                                                  Requirements

                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                  Alternate Namesextensions, user content, modifiers
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  414. Questionnaire.item:oatUnit.item:assessment.linkId
                                                                  Definition

                                                                  OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。

                                                                  ShortOATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。
                                                                  Comments

                                                                  This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summaryfalse
                                                                  Requirements

                                                                  QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  416. Questionnaire.item:oatUnit.item:assessment.definition
                                                                  Definition

                                                                  This element is a URI that refers to an ElementDefinition that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:

                                                                  • code (ElementDefinition.code)
                                                                  • type (ElementDefinition.type)
                                                                  • required (ElementDefinition.min)
                                                                  • repeats (ElementDefinition.max)
                                                                  • maxLength (ElementDefinition.maxLength)
                                                                  • answerValueSet (ElementDefinition.binding)
                                                                  • options (ElementDefinition.binding).
                                                                  ShortElementDefinition - details for the item
                                                                  Comments

                                                                  The uri refers to an ElementDefinition in a StructureDefinition and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id Element.id. E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.

                                                                  Control0..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summaryfalse
                                                                  Requirements

                                                                  A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  418. Questionnaire.item:oatUnit.item:assessment.code
                                                                  Definition

                                                                  A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                                                  ShortCorresponding concept for this item in a terminology
                                                                  Comments

                                                                  The value may come from the ElementDefinition referred to by .definition.

                                                                  Control0..*
                                                                  This element is affected by the following invariants: que-3
                                                                  BindingFor example codes, see QuestionnaireQuestionCodes
                                                                  (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                                  Codes for questionnaires, groups and individual questions.

                                                                  TypeCoding
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Allows linking of groups of questions to formal terminologies.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis element introduces a set of slices on Questionnaire.item.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ system
                                                                  • 420. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory
                                                                    Slice NameBOMAssessmentCategory
                                                                    Definition

                                                                    BOM観察項目分類コード・名称

                                                                    ShortBOM観察項目分類コード・名称
                                                                    Comments

                                                                    The value may come from the ElementDefinition referred to by .definition.

                                                                    Control0..1
                                                                    This element is affected by the following invariants: que-3
                                                                    BindingThe codes SHOULD be taken from EPath AssessmentCategory VS
                                                                    (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS)
                                                                    TypeCoding
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Requirements

                                                                    Allows linking of groups of questions to formal terminologies.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    422. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    424. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.extension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 426. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.system
                                                                      Definition

                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                      ShortIdentity of the terminology system
                                                                      Comments

                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                      Control1..1
                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                      Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      428. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.version
                                                                      Definition

                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                      ShortVersion of the system - if relevant
                                                                      Comments

                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      430. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.code
                                                                      Definition

                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                      ShortSymbol in syntax defined by the system
                                                                      Control1..1
                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to refer to a particular code in the system.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      432. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.display
                                                                      Definition

                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                      ShortRepresentation defined by the system
                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      434. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCategory.userSelected
                                                                      Definition

                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                      ShortIf this coding was chosen directly by the user
                                                                      Comments

                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                      Control0..1
                                                                      Typeboolean
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      436. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory
                                                                      Slice NameLocalAssessmentCategory
                                                                      Definition

                                                                      観察項目分類コード・名称

                                                                      Short観察項目分類コード・名称
                                                                      Comments

                                                                      The value may come from the ElementDefinition referred to by .definition.

                                                                      Control0..1
                                                                      This element is affected by the following invariants: que-3
                                                                      BindingFor example codes, see QuestionnaireQuestionCodes
                                                                      (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                                      Codes for questionnaires, groups and individual questions.

                                                                      TypeCoding
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Allows linking of groups of questions to formal terminologies.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      438. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      440. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 442. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.system
                                                                        Definition

                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                        ShortIdentity of the terminology system
                                                                        Comments

                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                        Control1..1
                                                                        Typeuri
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Requirements

                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                        Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCategoryCS
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        444. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.version
                                                                        Definition

                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                        ShortVersion of the system - if relevant
                                                                        Comments

                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        446. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.code
                                                                        Definition

                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                        ShortSymbol in syntax defined by the system
                                                                        Control1..1
                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supporttrue
                                                                        Summarytrue
                                                                        Requirements

                                                                        Need to refer to a particular code in the system.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        448. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.display
                                                                        Definition

                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                        ShortRepresentation defined by the system
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supporttrue
                                                                        Summarytrue
                                                                        Requirements

                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        450. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCategory.userSelected
                                                                        Definition

                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                        ShortIf this coding was chosen directly by the user
                                                                        Comments

                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                        Control0..1
                                                                        Typeboolean
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Requirements

                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        452. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode
                                                                        Slice NameBOMAssessmentCode
                                                                        Definition

                                                                        BOM観察項目コード・名称

                                                                        ShortBOM観察項目コード・名称
                                                                        Comments

                                                                        The value may come from the ElementDefinition referred to by .definition.

                                                                        Control0..1
                                                                        This element is affected by the following invariants: que-3
                                                                        BindingThe codes SHOULD be taken from EPath AssessmentCode VS
                                                                        (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS)
                                                                        TypeCoding
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Allows linking of groups of questions to formal terminologies.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        454. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        456. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.extension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 458. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.system
                                                                          Definition

                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                          ShortIdentity of the terminology system
                                                                          Comments

                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                          Control1..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                          Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          460. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.version
                                                                          Definition

                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                          ShortVersion of the system - if relevant
                                                                          Comments

                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          462. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.code
                                                                          Definition

                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                          ShortSymbol in syntax defined by the system
                                                                          Control1..1
                                                                          Typecode
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supporttrue
                                                                          Summarytrue
                                                                          Requirements

                                                                          Need to refer to a particular code in the system.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          464. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.display
                                                                          Definition

                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                          ShortRepresentation defined by the system
                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supporttrue
                                                                          Summarytrue
                                                                          Requirements

                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          466. Questionnaire.item:oatUnit.item:assessment.code:BOMAssessmentCode.userSelected
                                                                          Definition

                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                          ShortIf this coding was chosen directly by the user
                                                                          Comments

                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                          Control0..1
                                                                          Typeboolean
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          468. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode
                                                                          Slice NameLocalAssessmentCode
                                                                          Definition

                                                                          観察項目コード・名称

                                                                          Short観察項目コード・名称
                                                                          Comments

                                                                          The value may come from the ElementDefinition referred to by .definition.

                                                                          Control0..1
                                                                          This element is affected by the following invariants: que-3
                                                                          BindingFor example codes, see QuestionnaireQuestionCodes
                                                                          (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                                          Codes for questionnaires, groups and individual questions.

                                                                          TypeCoding
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Allows linking of groups of questions to formal terminologies.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          470. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          472. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 474. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.system
                                                                            Definition

                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                            ShortIdentity of the terminology system
                                                                            Comments

                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                            Control1..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                            Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            476. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.version
                                                                            Definition

                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                            ShortVersion of the system - if relevant
                                                                            Comments

                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            478. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.code
                                                                            Definition

                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                            ShortSymbol in syntax defined by the system
                                                                            Control1..1
                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to refer to a particular code in the system.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            480. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.display
                                                                            Definition

                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                            ShortRepresentation defined by the system
                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            482. Questionnaire.item:oatUnit.item:assessment.code:LocalAssessmentCode.userSelected
                                                                            Definition

                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                            ShortIf this coding was chosen directly by the user
                                                                            Comments

                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                            Control0..1
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            484. Questionnaire.item:oatUnit.item:assessment.prefix
                                                                            Definition

                                                                            A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

                                                                            ShortE.g. "1(a)", "2.5.3"
                                                                            Comments

                                                                            These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically, these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.

                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

                                                                            Alternate Nameslabel
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            486. Questionnaire.item:oatUnit.item:assessment.text
                                                                            Definition

                                                                            質問の内容(観察項目コード表記)

                                                                            Short質問の内容(観察項目コード表記)
                                                                            Comments

                                                                            When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            488. Questionnaire.item:oatUnit.item:assessment.type
                                                                            Definition

                                                                            string を指定する。

                                                                            Shortstring
                                                                            Comments

                                                                            Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                                                                            Control1..1
                                                                            BindingThe codes SHALL be taken from QuestionnaireItemType
                                                                            (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                                                                            Distinguishes groups from questions and display text and indicates data type for questions.

                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Defines the format in which the user is to be prompted for the answer.

                                                                            Fixed Valuestring
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            490. Questionnaire.item:oatUnit.item:assessment.enableWhen
                                                                            Definition

                                                                            A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                                                                            ShortOnly allow data when
                                                                            Comments

                                                                            If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                                                                            Control0..*
                                                                            TypeBackboneElement
                                                                            Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                                                                            492. Questionnaire.item:oatUnit.item:assessment.enableWhen.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            494. Questionnaire.item:oatUnit.item:assessment.enableWhen.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            496. Questionnaire.item:oatUnit.item:assessment.enableWhen.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            498. Questionnaire.item:oatUnit.item:assessment.enableWhen.question
                                                                            Definition

                                                                            The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                                                                            ShortQuestion that determines whether item is enabled
                                                                            Comments

                                                                            If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            500. Questionnaire.item:oatUnit.item:assessment.enableWhen.operator
                                                                            Definition

                                                                            Specifies the criteria by which the question is enabled.

                                                                            Shortexists | = | != | > | < | >= | <=
                                                                            Control1..1
                                                                            BindingThe codes SHALL be taken from QuestionnaireItemOperator
                                                                            (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                                                                            The criteria by which a question is enabled.

                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            502. Questionnaire.item:oatUnit.item:assessment.enableWhen.answer[x]
                                                                            Definition

                                                                            A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                                                                            ShortValue for question comparison based on operator
                                                                            Control1..1
                                                                            This element is affected by the following invariants: que-7
                                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                            Allowed values to answer questions.

                                                                            TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            504. Questionnaire.item:oatUnit.item:assessment.enableBehavior
                                                                            Definition

                                                                            Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                                            Shortall | any
                                                                            Comments

                                                                            This element must be specified if more than one enableWhen value is provided.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: que-12
                                                                            BindingThe codes SHALL be taken from EnableWhenBehavior
                                                                            (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1)

                                                                            Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            506. Questionnaire.item:oatUnit.item:assessment.required
                                                                            Definition

                                                                            An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

                                                                            ShortWhether the item must be included in data results
                                                                            Comments

                                                                            Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: que-6
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Meaning if MissingItems are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            508. Questionnaire.item:oatUnit.item:assessment.repeats
                                                                            Definition

                                                                            An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

                                                                            ShortWhether the item may repeat
                                                                            Comments

                                                                            If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. "repeat the question") or to simply allow entry/selection of multiple answers for the question (repeat the answers). Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.

                                                                            The resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.

                                                                            The value may come from the ElementDefinition referred to by .definition.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: que-6
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

                                                                            Meaning if MissingItems are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            510. Questionnaire.item:oatUnit.item:assessment.readOnly
                                                                            Definition

                                                                            An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

                                                                            ShortDon't allow human editing
                                                                            Comments

                                                                            The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: que-9
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            512. Questionnaire.item:oatUnit.item:assessment.maxLength
                                                                            Definition

                                                                            The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

                                                                            ShortNo more than this many characters
                                                                            Comments

                                                                            For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: que-10
                                                                            Typeinteger
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            514. Questionnaire.item:oatUnit.item:assessment.answerValueSet
                                                                            Definition

                                                                            A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                                                                            ShortValueset containing permitted answers
                                                                            Comments

                                                                            LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: que-4, que-5
                                                                            Typecanonical(ValueSet)
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            516. Questionnaire.item:oatUnit.item:assessment.answerOption
                                                                            Definition

                                                                            選択肢

                                                                            Short選択肢
                                                                            Comments

                                                                            This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: que-4, que-5
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            518. Questionnaire.item:oatUnit.item:assessment.answerOption.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            520. Questionnaire.item:oatUnit.item:assessment.answerOption.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            522. Questionnaire.item:oatUnit.item:assessment.answerOption.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            524. Questionnaire.item:oatUnit.item:assessment.answerOption.value[x]
                                                                            Definition

                                                                            A potential answer that's allowed as the answer to this question.

                                                                            ShortAnswer value
                                                                            Comments

                                                                            The data type of the value must agree with the item.type.

                                                                            Control1..1
                                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                            Allowed values to answer questions.

                                                                            TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            526. Questionnaire.item:oatUnit.item:assessment.answerOption.initialSelected
                                                                            Definition

                                                                            Indicates whether the answer value is selected when the list of possible answers is initially shown.

                                                                            ShortWhether option is selected by default
                                                                            Comments

                                                                            Use this instead of initial[v] if answerValueSet is present.

                                                                            Control0..1
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Meaning if MissingOnly selected items explicitly marked to be selected
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            528. Questionnaire.item:oatUnit.item:assessment.initial
                                                                            Definition

                                                                            One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                                                                            ShortInitial value(s) when item is first rendered
                                                                            Comments

                                                                            The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: que-8, que-13
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            In some workflows, having defaults saves time.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            530. Questionnaire.item:oatUnit.item:assessment.initial.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            532. Questionnaire.item:oatUnit.item:assessment.initial.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            534. Questionnaire.item:oatUnit.item:assessment.initial.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            536. Questionnaire.item:oatUnit.item:assessment.initial.value[x]
                                                                            Definition

                                                                            The actual value to for an initial answer.

                                                                            ShortActual value for initializing the question
                                                                            Comments

                                                                            The type of the initial value must be consistent with the type of the item.

                                                                            Control1..1
                                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                            Allowed values to answer questions.

                                                                            TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            538. Questionnaire.item:oatUnit.item:assessment.item
                                                                            Definition

                                                                            Text, questions and other groups to be nested beneath a question or group.

                                                                            ShortNested questionnaire items
                                                                            Comments

                                                                            There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: que-1
                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Reports can consist of complex nested groups.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            540. Questionnaire.item:oatUnit.item:assessmentChoice
                                                                            Slice NameassessmentChoice
                                                                            Definition

                                                                            フォーム選択肢(観察項目単位)

                                                                            Shortフォーム選択肢(観察項目単位)
                                                                            Comments

                                                                            There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: que-1
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Reports can consist of complex nested groups.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            542. Questionnaire.item:oatUnit.item:assessmentChoice.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            544. Questionnaire.item:oatUnit.item:assessmentChoice.extension
                                                                            Definition

                                                                            An Extension

                                                                            ShortExtension
                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Questionnaire.item.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 546. Questionnaire.item:oatUnit.item:assessmentChoice.extension:ePathQuestionnaireItemExtensions
                                                                              Slice NameePathQuestionnaireItemExtensions
                                                                              Definition

                                                                              観察項目結果値の値型、桁数、選択値、最大・最小値等の属性や制約を定めた情報。 設定可能な内容や表現方法は施設・運用主体等のローカル内で定め、これに則り設定する。

                                                                              Short観察項目結果値定義
                                                                              Control0..*
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension(EPath Questionnaire ItemExtensions) (Complex Extension)
                                                                              Is Modifierfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              548. Questionnaire.item:oatUnit.item:assessmentChoice.modifierExtension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                              Summarytrue
                                                                              Requirements

                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                              Alternate Namesextensions, user content, modifiers
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              550. Questionnaire.item:oatUnit.item:assessmentChoice.linkId
                                                                              Definition

                                                                              OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。

                                                                              ShortOATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド"."で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。
                                                                              Comments

                                                                              This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.

                                                                              Control1..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              Requirements

                                                                              QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              552. Questionnaire.item:oatUnit.item:assessmentChoice.definition
                                                                              Definition

                                                                              This element is a URI that refers to an ElementDefinition that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:

                                                                              • code (ElementDefinition.code)
                                                                              • type (ElementDefinition.type)
                                                                              • required (ElementDefinition.min)
                                                                              • repeats (ElementDefinition.max)
                                                                              • maxLength (ElementDefinition.maxLength)
                                                                              • answerValueSet (ElementDefinition.binding)
                                                                              • options (ElementDefinition.binding).
                                                                              ShortElementDefinition - details for the item
                                                                              Comments

                                                                              The uri refers to an ElementDefinition in a StructureDefinition and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id Element.id. E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.

                                                                              Control0..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Requirements

                                                                              A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              554. Questionnaire.item:oatUnit.item:assessmentChoice.code
                                                                              Definition

                                                                              A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                                                              ShortCorresponding concept for this item in a terminology
                                                                              Comments

                                                                              The value may come from the ElementDefinition referred to by .definition.

                                                                              Control0..*
                                                                              This element is affected by the following invariants: que-3
                                                                              BindingFor example codes, see QuestionnaireQuestionCodes
                                                                              (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                                              Codes for questionnaires, groups and individual questions.

                                                                              TypeCoding
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Allows linking of groups of questions to formal terminologies.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              SlicingThis element introduces a set of slices on Questionnaire.item.item.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ system
                                                                              • 556. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory
                                                                                Slice NameBOMAssessmentCategory
                                                                                Definition

                                                                                A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                                                                ShortCorresponding concept for this item in a terminology
                                                                                Comments

                                                                                The value may come from the ElementDefinition referred to by .definition.

                                                                                Control0..1
                                                                                This element is affected by the following invariants: que-3
                                                                                BindingThe codes SHOULD be taken from EPath AssessmentCategory VS
                                                                                (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS)
                                                                                TypeCoding
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Allows linking of groups of questions to formal terminologies.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                558. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                560. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 562. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.system
                                                                                  Definition

                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                  ShortIdentity of the terminology system
                                                                                  Comments

                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                  Control1..1
                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                  Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  564. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.version
                                                                                  Definition

                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                  ShortVersion of the system - if relevant
                                                                                  Comments

                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  566. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.code
                                                                                  Definition

                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                  ShortSymbol in syntax defined by the system
                                                                                  Control1..1
                                                                                  Typecode
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Need to refer to a particular code in the system.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  568. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.display
                                                                                  Definition

                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                  ShortRepresentation defined by the system
                                                                                  Control1..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  570. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCategory.userSelected
                                                                                  Definition

                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                  ShortIf this coding was chosen directly by the user
                                                                                  Comments

                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                  Control0..1
                                                                                  Typeboolean
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  572. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode
                                                                                  Slice NameBOMAssessmentCode
                                                                                  Definition

                                                                                  A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                                                                  ShortCorresponding concept for this item in a terminology
                                                                                  Comments

                                                                                  The value may come from the ElementDefinition referred to by .definition.

                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: que-3
                                                                                  BindingThe codes SHOULD be taken from EPath AssessmentCode VS
                                                                                  (preferred to http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS)
                                                                                  TypeCoding
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Requirements

                                                                                  Allows linking of groups of questions to formal terminologies.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  574. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  576. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.extension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 578. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.system
                                                                                    Definition

                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                    ShortIdentity of the terminology system
                                                                                    Comments

                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                    Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    580. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.version
                                                                                    Definition

                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                    ShortVersion of the system - if relevant
                                                                                    Comments

                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    582. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.code
                                                                                    Definition

                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                    ShortSymbol in syntax defined by the system
                                                                                    Control1..1
                                                                                    Typecode
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Must Supporttrue
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to refer to a particular code in the system.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    584. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.display
                                                                                    Definition

                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                    ShortRepresentation defined by the system
                                                                                    Control1..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Must Supporttrue
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    586. Questionnaire.item:oatUnit.item:assessmentChoice.code:BOMAssessmentCode.userSelected
                                                                                    Definition

                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                    ShortIf this coding was chosen directly by the user
                                                                                    Comments

                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                    Control0..1
                                                                                    Typeboolean
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    588. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode
                                                                                    Slice NameLocalAssessmentCode
                                                                                    Definition

                                                                                    A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

                                                                                    ShortCorresponding concept for this item in a terminology
                                                                                    Comments

                                                                                    The value may come from the ElementDefinition referred to by .definition.

                                                                                    Control0..1
                                                                                    This element is affected by the following invariants: que-3
                                                                                    BindingFor example codes, see QuestionnaireQuestionCodes
                                                                                    (example to http://hl7.org/fhir/ValueSet/questionnaire-questions|4.0.1)

                                                                                    Codes for questionnaires, groups and individual questions.

                                                                                    TypeCoding
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Allows linking of groups of questions to formal terminologies.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    590. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.id
                                                                                    Definition

                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    592. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.extension
                                                                                    Definition

                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                    ShortAdditional content defined by implementations
                                                                                    Comments

                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    SlicingThis element introduces a set of slices on Questionnaire.item.item.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 594. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.system
                                                                                      Definition

                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                      ShortIdentity of the terminology system
                                                                                      Comments

                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                      Control1..1
                                                                                      Typeuri
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                      Fixed Valuehttp://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      596. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.version
                                                                                      Definition

                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                      ShortVersion of the system - if relevant
                                                                                      Comments

                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      598. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.code
                                                                                      Definition

                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                      ShortSymbol in syntax defined by the system
                                                                                      Control1..1
                                                                                      Typecode
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Must Supporttrue
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Need to refer to a particular code in the system.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      600. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.display
                                                                                      Definition

                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                      ShortRepresentation defined by the system
                                                                                      Control1..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Must Supporttrue
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      602. Questionnaire.item:oatUnit.item:assessmentChoice.code:LocalAssessmentCode.userSelected
                                                                                      Definition

                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                      ShortIf this coding was chosen directly by the user
                                                                                      Comments

                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                      Control0..1
                                                                                      Typeboolean
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      604. Questionnaire.item:oatUnit.item:assessmentChoice.prefix
                                                                                      Definition

                                                                                      A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

                                                                                      ShortE.g. "1(a)", "2.5.3"
                                                                                      Comments

                                                                                      These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically, these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.

                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

                                                                                      Alternate Nameslabel
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      606. Questionnaire.item:oatUnit.item:assessmentChoice.text
                                                                                      Definition

                                                                                      質問の内容(観察項目コード表記)

                                                                                      Short質問の内容(観察項目コード表記)
                                                                                      Comments

                                                                                      When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group.

                                                                                      Control1..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Must Supporttrue
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      608. Questionnaire.item:oatUnit.item:assessmentChoice.type
                                                                                      Definition

                                                                                      choice を指定する。

                                                                                      Shortchoice
                                                                                      Comments

                                                                                      Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.

                                                                                      Control1..1
                                                                                      BindingThe codes SHALL be taken from QuestionnaireItemType
                                                                                      (required to http://hl7.org/fhir/ValueSet/item-type|4.0.1)

                                                                                      Distinguishes groups from questions and display text and indicates data type for questions.

                                                                                      Typecode
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Defines the format in which the user is to be prompted for the answer.

                                                                                      Fixed Valuechoice
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      610. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen
                                                                                      Definition

                                                                                      A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

                                                                                      ShortOnly allow data when
                                                                                      Comments

                                                                                      If multiple repetitions of this extension are present, the item should be enabled when the condition for any of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.

                                                                                      Control0..*
                                                                                      TypeBackboneElement
                                                                                      Is Modifiertrue because If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      que-7: If the operator is 'exists', the value must be a boolean (operator = 'exists' implies (answer is Boolean))
                                                                                      612. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      614. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      616. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.modifierExtension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      618. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.question
                                                                                      Definition

                                                                                      The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

                                                                                      ShortQuestion that determines whether item is enabled
                                                                                      Comments

                                                                                      If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.

                                                                                      Control1..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      620. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.operator
                                                                                      Definition

                                                                                      Specifies the criteria by which the question is enabled.

                                                                                      Shortexists | = | != | > | < | >= | <=
                                                                                      Control1..1
                                                                                      BindingThe codes SHALL be taken from QuestionnaireItemOperator
                                                                                      (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.1)

                                                                                      The criteria by which a question is enabled.

                                                                                      Typecode
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      622. Questionnaire.item:oatUnit.item:assessmentChoice.enableWhen.answer[x]
                                                                                      Definition

                                                                                      A value that the referenced question is tested using the specified operator in order for the item to be enabled.

                                                                                      ShortValue for question comparison based on operator
                                                                                      Control1..1
                                                                                      This element is affected by the following invariants: que-7
                                                                                      BindingFor example codes, see QuestionnaireAnswerCodes
                                                                                      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                                      Allowed values to answer questions.

                                                                                      TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, Coding, Quantity, Reference(Resource)
                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      624. Questionnaire.item:oatUnit.item:assessmentChoice.enableBehavior
                                                                                      Definition

                                                                                      Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                                                      Shortall | any
                                                                                      Comments

                                                                                      This element must be specified if more than one enableWhen value is provided.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: que-12
                                                                                      BindingThe codes SHALL be taken from EnableWhenBehavior
                                                                                      (required to http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.1)

                                                                                      Controls how multiple enableWhen values are interpreted - whether all or any must be true.

                                                                                      Typecode
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      626. Questionnaire.item:oatUnit.item:assessmentChoice.required
                                                                                      Definition

                                                                                      An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

                                                                                      ShortWhether the item must be included in data results
                                                                                      Comments

                                                                                      Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: que-6
                                                                                      Typeboolean
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Meaning if MissingItems are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      628. Questionnaire.item:oatUnit.item:assessmentChoice.repeats
                                                                                      Definition

                                                                                      An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

                                                                                      ShortWhether the item may repeat
                                                                                      Comments

                                                                                      If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. "repeat the question") or to simply allow entry/selection of multiple answers for the question (repeat the answers). Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.

                                                                                      The resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.

                                                                                      The value may come from the ElementDefinition referred to by .definition.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: que-6
                                                                                      Typeboolean
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

                                                                                      Meaning if MissingItems are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      630. Questionnaire.item:oatUnit.item:assessmentChoice.readOnly
                                                                                      Definition

                                                                                      An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

                                                                                      ShortDon't allow human editing
                                                                                      Comments

                                                                                      The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: que-9
                                                                                      Typeboolean
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      632. Questionnaire.item:oatUnit.item:assessmentChoice.maxLength
                                                                                      Definition

                                                                                      The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

                                                                                      ShortNo more than this many characters
                                                                                      Comments

                                                                                      For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: que-10
                                                                                      Typeinteger
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      634. Questionnaire.item:oatUnit.item:assessmentChoice.answerValueSet
                                                                                      Definition

                                                                                      A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

                                                                                      ShortValueset containing permitted answers
                                                                                      Comments

                                                                                      LOINC defines many useful value sets for questionnaire responses. See LOINC Answer Lists. The value may come from the ElementDefinition referred to by .definition.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: que-4, que-5
                                                                                      Typecanonical(ValueSet)
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      636. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption
                                                                                      Definition

                                                                                      選択肢

                                                                                      Short選択肢
                                                                                      Comments

                                                                                      This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: que-4, que-5
                                                                                      TypeBackboneElement
                                                                                      Is Modifierfalse
                                                                                      Must Supporttrue
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      638. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      640. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      642. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.modifierExtension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      644. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.value[x]
                                                                                      Definition

                                                                                      A potential answer that's allowed as the answer to this question.

                                                                                      ShortAnswer value
                                                                                      Comments

                                                                                      The data type of the value must agree with the item.type.

                                                                                      Control1..1
                                                                                      BindingFor example codes, see QuestionnaireAnswerCodes
                                                                                      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                                      Allowed values to answer questions.

                                                                                      TypeChoice of: integer, date, time, string, Coding, Reference(Resource)
                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Must Supporttrue
                                                                                      Must Support TypesNo must-support rules about the choice of types/profiles
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      646. Questionnaire.item:oatUnit.item:assessmentChoice.answerOption.initialSelected
                                                                                      Definition

                                                                                      Indicates whether the answer value is selected when the list of possible answers is initially shown.

                                                                                      ShortWhether option is selected by default
                                                                                      Comments

                                                                                      Use this instead of initial[v] if answerValueSet is present.

                                                                                      Control0..1
                                                                                      Typeboolean
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Meaning if MissingOnly selected items explicitly marked to be selected
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      648. Questionnaire.item:oatUnit.item:assessmentChoice.initial
                                                                                      Definition

                                                                                      One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

                                                                                      ShortInitial value(s) when item is first rendered
                                                                                      Comments

                                                                                      The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: que-8, que-13
                                                                                      TypeBackboneElement
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      In some workflows, having defaults saves time.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      650. Questionnaire.item:oatUnit.item:assessmentChoice.initial.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      652. Questionnaire.item:oatUnit.item:assessmentChoice.initial.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      654. Questionnaire.item:oatUnit.item:assessmentChoice.initial.modifierExtension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      656. Questionnaire.item:oatUnit.item:assessmentChoice.initial.value[x]
                                                                                      Definition

                                                                                      The actual value to for an initial answer.

                                                                                      ShortActual value for initializing the question
                                                                                      Comments

                                                                                      The type of the initial value must be consistent with the type of the item.

                                                                                      Control1..1
                                                                                      BindingFor example codes, see QuestionnaireAnswerCodes
                                                                                      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                                      Allowed values to answer questions.

                                                                                      TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      658. Questionnaire.item:oatUnit.item:assessmentChoice.item
                                                                                      Definition

                                                                                      Text, questions and other groups to be nested beneath a question or group.

                                                                                      ShortNested questionnaire items
                                                                                      Comments

                                                                                      There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: que-1
                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Reports can consist of complex nested groups.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))