Science 37 FHIR Implementation-Guide
1.0.0-S37 - ci-build
Science 37 FHIR Implementation-Guide - Local Development build (v1.0.0-S37). See the Directory of published versions
| Unknown as of 2022-08-01 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Questionnaire;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "Item-Extension-Example-All-Items-Reduced"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/questionnaire-s37-sdc";
fhir:index 0;
fhir:link <https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/questionnaire-s37-sdc> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkId for the item\">LinkId</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the itemcan appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> Example : Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://science37.com/trial/098fsd0af9s/site/s0d98f0a98d0/questionnaire/97af87da0f6a06#1.0.0-S37</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-qo3cyvy8fgh\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-qo3cyvy8fgh</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>DATE_TIME_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/datetime/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-2zpvlwq3a1c\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-2zpvlwq3a1c</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>DERIVED_FIELD_LABLE</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/derived/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-q6zbrgullmr\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-attachment.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Attachment\" class=\"hierarchy\"/> __S37-form-fields-q6zbrgullmr</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FILE_UPLOAD_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-attachment\">attachment</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/fileupload/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-isdfu9s0df8us8dfy\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-attachment.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Attachment\" class=\"hierarchy\"/> __S37-form-fields-isdfu9s0df8us8dfy</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>IMAGE_UPLOAD_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-attachment\">attachment</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/image/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-p8wrfhsd01p1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-p8wrfhsd01p1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>What is you current mood?</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/MultiSelect/version/2.3<br/>Options: <a href=\"#opt-item.__S37-form-fields-p8wrfhsd01p1\">4 options</a><br/>Initial Value: string = 554</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-jntlfakzc05\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-jntlfakzc05</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>NUMBER_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/decimal/version/2.3<br/>Initial Value: decimal = 1.5</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-jntlfakzc05\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-jntlfakzc05</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>NUMBER_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/number/version/2.3<br/>Initial Value: integer = 1</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-6qupvhtl05b\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-6qupvhtl05b</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>NRS_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/ratingscale/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-2cg5vgg5kdh\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-2cg5vgg5kdh</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p><span style="color: rgb(0,0,0);">RICHTEXT</span></p>\n</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/richText/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-p8wrfhsd01p2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> __S37-form-fields-p8wrfhsd01p2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>What is you current mood?</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/Select/version/2.3<br/>Options: <a href=\"#opt-item.__S37-form-fields-p8wrfhsd01p2\">4 options</a><br/>Initial Value: string = 554</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-rtqqwsi13dj\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-rtqqwsi13dj</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><B>Describe your current mood.<B></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 245<br/>Definition: https://science37.com/NG/widget/id/text/version/2.3<br/>Initial Value: string = Replacement for defaultPlaceholder</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-1nhurf7a3d8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-1nhurf7a3d8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>TEXT_AREA_LABEL</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/textarea/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-xynvdph4mrt\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-xynvdph4mrt</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p>HEADER</p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/header/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-h0ae575xlf8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> __S37-form-fields-h0ae575xlf8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>Please tap on the scale to indicate how your health is TODAY</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-question\">question</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/vasscale/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><p style="text-align:left;"><strong>FOOTER_TEXT</strong></p></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/footer/version/2.3</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.__S37-form-fields-adhas4b1899nw\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> __S37-form-fields-adhas4b1899nw</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PAGE BREAK</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: https://science37.com/NG/widget/id/page-break/version/2.3</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Option Sets</b></p><a name=\"opt-item.__S37-form-fields-p8wrfhsd01p1\"> </a><p><b>Answer options for __S37-form-fields-p8wrfhsd01p1</b></p><ul><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#1 ("1")</li><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#2 ("2")</li><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#3 ("3")</li><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#554 ("554")</li></ul><a name=\"opt-item.__S37-form-fields-p8wrfhsd01p2\"> </a><p><b>Answer options for __S37-form-fields-p8wrfhsd01p2</b></p><ul><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#1 ("1")</li><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#2 ("2")</li><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#3 ("3")</li><li style=\"font-size: 11px\">urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7#554 ("554")</li></ul></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/standard-variable" ];
fhir:Extension.valueString [ fhir:value "FormLevel-StandardVariable" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "device0" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "source" ];
fhir:Extension.valueString [ fhir:value "source01" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "target" ];
fhir:Extension.valueString [ fhir:value "target01" ] ];
fhir:Extension.url [ fhir:value "map" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "source" ];
fhir:Extension.valueString [ fhir:value "source01" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "target" ];
fhir:Extension.valueString [ fhir:value "target01" ] ];
fhir:Extension.url [ fhir:value "map" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/device" ]
], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "device1" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "source" ];
fhir:Extension.valueString [ fhir:value "source01" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "target" ];
fhir:Extension.valueString [ fhir:value "target01" ] ];
fhir:Extension.url [ fhir:value "map" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "source" ];
fhir:Extension.valueString [ fhir:value "source01" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "target" ];
fhir:Extension.valueString [ fhir:value "target01" ] ];
fhir:Extension.url [ fhir:value "map" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/device" ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/sub-status" ];
fhir:Extension.valueString [ fhir:value "deleted" ]
], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "createdAt" ];
fhir:Extension.valueDateTime [ fhir:value "2015-02-07T13:28:17Z"^^xsd:dateTime ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "updatedAt" ];
fhir:Extension.valueDateTime [ fhir:value "2022-01-01T10:08:10Z"^^xsd:dateTime ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/resource-create-update-at-datetime" ]
], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "language" ];
fhir:Extension.valueCode [ fhir:value "en-US" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "language" ];
fhir:Extension.valueCode [ fhir:value "en-SG" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/supported-languages" ]
], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "FORM_ID" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "id" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "description" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "pattern" ];
fhir:Extension.valueString [ fhir:value "[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "b41ca7b6-7842-4bad-b266-0c7cc1ccdf97" ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 10;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ] ], [
fhir:index 11;
fhir:Extension.url [ fhir:value "minLength" ];
fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ] ], [
fhir:index 12;
fhir:Extension.url [ fhir:value "maxValue" ];
fhir:Extension.valueInteger [ fhir:value "2222"^^xsd:integer ] ], [
fhir:index 13;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ], [
fhir:index 14;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "2.9.2-monkeystuff" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "FORM_TYPE" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Form Type" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "description" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "pattern" ];
fhir:Extension.valueString [ fhir:value "pattern" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "epro" ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 10;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "2.9.2-monkeystuff" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "CONTROL_SCHEMA_VERSION" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "2.9.2-monkeystuff" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ]
];
fhir:Questionnaire.url [ fhir:value "http://science37.com/trial/098fsd0af9s/site/s0d98f0a98d0/questionnaire/97af87da0f6a06"];
fhir:Questionnaire.identifier [
fhir:index 0;
fhir:Identifier.value [ fhir:value "Form ID-odfu9sdfyisyd78y877" ]
];
fhir:Questionnaire.version [ fhir:value "1.0.0-S37"];
fhir:Questionnaire.name [ fhir:value "Example : Questionnaire"];
fhir:Questionnaire.title [ fhir:value "Example : Questionnaire"];
fhir:Questionnaire.status [ fhir:value "unknown"];
fhir:Questionnaire.subjectType [
fhir:value "Patient";
fhir:index 0
];
fhir:Questionnaire.date [ fhir:value "2022-08-01T20:41:40+00:00"^^xsd:dateTime];
fhir:Questionnaire.publisher [ fhir:value "Science37"];
fhir:Questionnaire.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ];
fhir:Coding.display [ fhir:value "United States of America" ] ]
];
fhir:Questionnaire.item [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "datetimeType" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-datetimeType" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Type" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "dt" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "select" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "dateTimeOptions" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-dateTimeOptions" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "captureDateonSubmit" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "radiogroup" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "captureTimeonSubmit" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-captureTimeonSubmit" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Capture time on submit" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "description" ];
fhir:Extension.valueString [ fhir:value "Date field is not editable by user (read only)" ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "256"^^xsd:integer ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 10;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "minDate" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-minDate" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Minimum Date" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueDateTime [ fhir:value "2013-06-08T10:57:34+01:00"^^xsd:dateTime ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "dateTime" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maxDate" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-maxDate" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Maximum Date" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueDateTime [ fhir:value "2022-06-08T10:57:34+01:00"^^xsd:dateTime ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "dateTime" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionPeriodOfTime" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionPeriodOfTime" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Period of time" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "xxx" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "select" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "description" ];
fhir:Extension.valueString [ fhir:value "Constrain the response by months, days or hours" ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionNoOfHours" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionPeriodOfTime" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Number of Hours" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionNoOfDays" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionNoOfDays" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Number of Days" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 10;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionNoOfMonths" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionNoOfMonths" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Number of Months" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "dateTime" ];
fhir:Coding.display [ fhir:value "dateTime" ] ];
fhir:CodeableConcept.text [ fhir:value "dateTime" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DS_CONSENT_SIG_FIELD_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-qo3cyvy8fgh" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DS_CONSENT_SIG_FIELD_ITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>DATE_TIME_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DS_CONSENT_SIG_FIELD_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DS_CONSENT_SIG_FIELD_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "datetimeType" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-datetimeType" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Type" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "dt" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "select" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "dateTimeOptions" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-dateTimeOptions" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "captureDateonSubmit" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "radiogroup" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 10;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "captureTimeonSubmit" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-captureTimeonSubmit" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Capture time on submit" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "description" ];
fhir:Extension.valueString [ fhir:value "Date field is not editable by user (read only)" ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "256"^^xsd:integer ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 10;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 11;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "minDate" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-minDate" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Minimum Date" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueDateTime [ fhir:value "2013-06-08T10:57:34+01:00"^^xsd:dateTime ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "dateTime" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 12;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maxDate" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-maxDate" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Maximum Date" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueDateTime [ fhir:value "2022-06-08T10:57:34+01:00"^^xsd:dateTime ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "dateTime" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 13;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionPeriodOfTime" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionPeriodOfTime" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Period of time" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "xxx" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "select" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "description" ];
fhir:Extension.valueString [ fhir:value "Constrain the response by months, days or hours" ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 14;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionNoOfHours" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionPeriodOfTime" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Number of Hours" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 15;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionNoOfDays" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionNoOfDays" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Number of Days" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 16;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "completionNoOfMonths" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "version" ];
fhir:Extension.valueId [ fhir:value "1.0.2-completionNoOfMonths" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Number of Months" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "value" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-qo3cyvy8fgh" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/datetime/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>DATE_TIME_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "derived" ];
fhir:Coding.display [ fhir:value "derived" ] ];
fhir:CodeableConcept.text [ fhir:value "derived" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DERIVED_FIELD_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-2zpvlwq3a1c" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DERIVED_FIELD_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>DERIVED_FIELD_LABLE</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DERIVED_FIELD_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "DERIVED_FIELD_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "scale" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "formula" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "2" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-2zpvlwq3a1c" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/derived/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>DERIVED_FIELD_LABLE</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ]
], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 10;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 11;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 12;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "fileupload" ];
fhir:Coding.display [ fhir:value "fileupload" ] ];
fhir:CodeableConcept.text [ fhir:value "fileupload" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FILE_UPLOAD_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-q6zbrgullmr" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FILE_UPLOAD_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>FILE_UPLOAD_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FILE_UPLOAD_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FILE_UPLOAD_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-q6zbrgullmr" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/fileupload/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FILE_UPLOAD_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "attachment" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 13;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 14;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 15;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 16;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "image" ];
fhir:Coding.display [ fhir:value "image" ] ];
fhir:CodeableConcept.text [ fhir:value "image" ] ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "IMAGE_FIELD_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-isdfu9s0df8us8dfy" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "IMAGE_FIELD_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>IMAGE_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "IMAGE_FIELD_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "IMAGE_FIELD_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-isdfu9s0df8us8dfy" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/image/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>IMAGE_UPLOAD_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "attachment" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 17;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 18;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 19;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 20;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "drop-down" ];
fhir:Coding.display [ fhir:value "Drop Down" ] ];
fhir:CodeableConcept.text [ fhir:value "drop-down" ] ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-p8wrfhsd01p" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>MULTPLE_CHOICE_LABLE</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-p8wrfhsd01p1" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/MultiSelect/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>What is you current mood?</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
fhir:Questionnaire.item.answerOption [
fhir:index 0;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "1" ];
fhir:Coding.display [ fhir:value "1" ] ] ], [
fhir:index 1;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "2" ];
fhir:Coding.display [ fhir:value "2" ] ] ], [
fhir:index 2;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "3" ];
fhir:Coding.display [ fhir:value "3" ] ] ], [
fhir:index 3;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "554" ];
fhir:Coding.display [ fhir:value "554" ] ] ];
fhir:Questionnaire.item.initial [
fhir:index 0;
fhir:Questionnaire.item.initial.valueString [ fhir:value "554" ] ]
], [
fhir:index 21;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 22;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 23;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 24;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ];
fhir:Extension.valueDecimal [ fhir:value "1.5"^^xsd:decimal ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ];
fhir:Extension.valueDecimal [ fhir:value "10.5"^^xsd:decimal ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "decimal" ];
fhir:Coding.display [ fhir:value "decimal" ] ];
fhir:CodeableConcept.text [ fhir:value "decimal" ] ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1.1" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-jntlfakzc05" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>NUMBER_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "decimalScale" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultValue" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueDecimal [ fhir:value "1.5"^^xsd:decimal ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-jntlfakzc05" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/decimal/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>NUMBER_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
fhir:Questionnaire.item.initial [
fhir:index 0;
fhir:Questionnaire.item.initial.valueDecimal [ fhir:value "1.5"^^xsd:decimal ] ]
], [
fhir:index 25;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 26;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 27;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 28;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ];
fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "integer" ];
fhir:Coding.display [ fhir:value "integer" ] ];
fhir:CodeableConcept.text [ fhir:value "integer" ] ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1.1" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-jntlfakzc05" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>NUMBER_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NUMBER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-jntlfakzc05" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/number/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>NUMBER_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
fhir:Questionnaire.item.initial [
fhir:index 0;
fhir:Questionnaire.item.initial.valueInteger [ fhir:value "1"^^xsd:integer ] ]
], [
fhir:index 29;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 30;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 31;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 32;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ];
fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ];
fhir:Extension.valueInteger [ fhir:value "1100"^^xsd:integer ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "rating-scale" ];
fhir:Coding.display [ fhir:value "rating-scale" ] ];
fhir:CodeableConcept.text [ fhir:value "rating-scale" ] ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NRS_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-6qupvhtl05b" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NRS_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>NRS_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NRS_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "NRS_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "minValue" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "0" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maxValue" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "10" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 10;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "fromText" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "2" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 11;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "toText" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "100" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 12;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "naOption" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "true" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 13;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "naLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "N/A Label" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-6qupvhtl05b" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/ratingscale/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>NRS_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 33;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 34;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 35;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 36;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "rich-text" ];
fhir:Coding.display [ fhir:value "rich-text" ] ];
fhir:CodeableConcept.text [ fhir:value "rich-text" ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "RICH_TEXT_FIELD_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-2cg5vgg5kdh" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "RICH_TEXT_ITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-2cg5vgg5kdh" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/richText/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p><span style=\"color: rgb(0,0,0);\">RICHTEXT</span></p>\n" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 37;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 38;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 39;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 40;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "drop-down" ];
fhir:Coding.display [ fhir:value "Drop Down" ] ];
fhir:CodeableConcept.text [ fhir:value "drop-down" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-p8wrfhsd01p1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>MULTPLE_CHOICE_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "MULTPLE_CHOICE_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-p8wrfhsd01p2" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/Select/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>What is you current mood?</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "choice" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
fhir:Questionnaire.item.answerOption [
fhir:index 0;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "1" ];
fhir:Coding.display [ fhir:value "1" ] ] ], [
fhir:index 1;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "2" ];
fhir:Coding.display [ fhir:value "2" ] ] ], [
fhir:index 2;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "3" ];
fhir:Coding.display [ fhir:value "3" ] ] ], [
fhir:index 3;
fhir:Questionnaire.item.answerOption.valueCoding [
fhir:Coding.system [ fhir:value "urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7" ];
fhir:Coding.code [ fhir:value "554" ];
fhir:Coding.display [ fhir:value "554" ] ] ];
fhir:Questionnaire.item.initial [
fhir:index 0;
fhir:Questionnaire.item.initial.valueString [ fhir:value "554" ] ]
], [
fhir:index 41;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 42;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 43;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 44;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "text" ];
fhir:Coding.display [ fhir:value "text" ] ];
fhir:CodeableConcept.text [ fhir:value "text" ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-Text-Version" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>TEXT_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "22" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-rtqqwsi13dj" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/text/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<B>Describe your current mood.<B>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
fhir:Questionnaire.item.maxLength [ fhir:value "245"^^xsd:integer ];
fhir:Questionnaire.item.initial [
fhir:index 0;
fhir:Questionnaire.item.initial.valueString [ fhir:value " Replacement for defaultPlaceholder" ] ]
], [
fhir:index 45;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 46;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 47;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 48;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "text-box" ];
fhir:Coding.display [ fhir:value "textbox" ] ];
fhir:CodeableConcept.text [ fhir:value "text-box" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_AREA_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-1nhurf7a3d8" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_AREA_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>TEXT_AREA_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_AREA_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "TEXT_AREA_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-1nhurf7a3d8" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/textarea/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>TEXT_AREA_LABEL</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 49;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 50;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
], [
fhir:index 51;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-header-Version" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "header" ];
fhir:Coding.display [ fhir:value "header" ] ];
fhir:CodeableConcept.text [ fhir:value "header" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-xynvdph4mrt" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "value" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p>HEADER</p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-xynvdph4mrt" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/header/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p>HEADER</p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 52;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ];
fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ];
fhir:Extension.valueInteger [ fhir:value "1100"^^xsd:integer ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "vas-scale" ];
fhir:Coding.display [ fhir:value "vas-scale" ] ];
fhir:CodeableConcept.text [ fhir:value "vas-scale" ] ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-item" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "VAS_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-h0ae575xlf8" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "VAS_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=text-align:left;><strong>TEXT_AREA_LABEL</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "VAS_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "VAS_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "requiredField" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "displayValueIndicator" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Display Value Indicator" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "true" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "valueIndicatorLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Value Indicator Label" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "Your Health Today" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "50"^^xsd:integer ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 10;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "minValueLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Minimum Value Label" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "The lease worst health you can imagine" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "100"^^xsd:integer ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 11;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maxValueLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Maximum Value Label" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "The worst health you can imagine" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "1000"^^xsd:integer ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 12;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maxValueLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Maximum Value Label" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "The worst health you can imagine" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "1000"^^xsd:integer ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 13;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "medalueLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Median Value Label" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "The worst health you can imagine" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "text" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "100"^^xsd:integer ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 14;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "naOption" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "N/A Option" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 15;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "naLabel" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "N/A Label" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "Not Applicable" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "texgt" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "maxLength" ];
fhir:Extension.valueInteger [ fhir:value "500"^^xsd:integer ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 16;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "orientation" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Orientation" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "vertical" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "radiogroup" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 17;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "doNotShowNumValue" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "doNotShowNumValue" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "false" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 18;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "showIncrements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "showIncrements" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "true" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 19;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "minorIncrements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "minorIncrements" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "10" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "pattern" ];
fhir:Extension.valueString [ fhir:value "^[0-9]*" ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 20;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "majorIncrements" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "majorIncrements" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "50" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "integer" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "pattern" ];
fhir:Extension.valueString [ fhir:value "^[0-9]*" ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "minValue" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 21;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "interactionType" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "Show value slider" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "true" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "checkbox" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 22;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "scaleSize" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "scaleSize" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "consistentScale" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "radiogroup" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 23;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "vasPresets" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "label" ];
fhir:Extension.valueString [ fhir:value "vasPresets" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "vasTenPointIncrement" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueString [ fhir:value "select" ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "required" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "unique" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "disabled" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-h0ae575xlf8" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/vasscale/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>Please tap on the scale to indicate how your health is TODAY</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "question" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 53;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "footer" ];
fhir:Coding.display [ fhir:value "footer" ] ];
fhir:CodeableConcept.text [ fhir:value "footer" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "sponsorVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_OID" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-rtqqwsi13dj" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "title" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_TITLE" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "lable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "standardVariable" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_STD_VAR" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "description" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "FOOTER_DESC" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "maximumCharacterLength" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "defaultPlaceholder" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/footer/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "<p style=\"text-align:left;\"><strong>FOOTER_TEXT</strong></p>" ];
fhir:Questionnaire.item.type [ fhir:value "display" ];
fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
], [
fhir:index 54;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
fhir:Coding.code [ fhir:value "page-break" ];
fhir:Coding.display [ fhir:value "page-break" ] ];
fhir:CodeableConcept.text [ fhir:value "page-break" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version" ];
fhir:Extension.valueId [ fhir:value "1.0.1-page-break-Version" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "linkId" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "__S37-form-fields-adhas4b1899nw" ] ];
fhir:Extension.url [ fhir:value "setting" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "id" ];
fhir:Extension.valueString [ fhir:value "version" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "1" ] ];
fhir:Extension.url [ fhir:value "setting" ] ];
fhir:Extension.url [ fhir:value "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" ] ];
fhir:Questionnaire.item.linkId [ fhir:value "__S37-form-fields-adhas4b1899nw" ];
fhir:Questionnaire.item.definition [ fhir:value "https://science37.com/NG/widget/id/page-break/version/2.3" ];
fhir:Questionnaire.item.text [ fhir:value "PAGE BREAK" ];
fhir:Questionnaire.item.type [ fhir:value "display" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.