Shared Care Planning (SCP) Implementation Guide
0.2.0 - ci-build

Shared Care Planning (SCP) Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: 9.02 Questionnaire for patient details - XML Representation

Draft as of 2024-09-02

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="msc-questionnaire-patient-details"/>
  <meta>
    <lastUpdated value="2024-09-02T13:40:17Z"/>
    <source value="http://decor.nictiz.nl/fhir/4.0/sansa-"/>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"/>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render"/>
    <tag>
      <system value="http://hl7.org/fhir/FHIR-version"/>
      <code value="4.0.1"/>
    </tag>
  </meta>
  <language value="nl-NL"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="nl-NL" lang="nl-NL"><p class="res-header-id"><b>Generated Narrative: Questionnaire msc-questionnaire-patient-details</b></p><a name="msc-questionnaire-patient-details"> </a><a name="hcmsc-questionnaire-patient-details"> </a><a name="msc-questionnaire-patient-details-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2024-09-02 13:40:17+0000; Language: nl-NL; </p><p style="margin-bottom: 0px">Information Source: <a href="http://decor.nictiz.nl/fhir/4.0/sansa-">http://decor.nictiz.nl/fhir/4.0/sansa-</a></p><p style="margin-bottom: 0px">Profiles: <code>http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp</code>, <code>http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render</code></p><p style="margin-bottom: 0px">Tag: 4.0.1 (Details: FHIRVersion code 4.0.1)</p></div><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 item can 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="Other attributes of the item">Flags</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 &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" 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"/> patient contactdetails</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"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://decor.nictiz.nl/fhir/Questionnaire/2.16.840.1.113883.2.4.3.11.60.909.26.34-2--20240902134017#0.2.0</td></tr>
<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_bck11.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2233" 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"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2233</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Naamgegevens</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-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck110.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2234" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2234</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Voornamen</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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-string">string</a></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"/></tr>
<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_bck101.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2238" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2238</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Geslachtsnaam</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-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck1010.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2239" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2239</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Voorvoegsels</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..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-string">string</a></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"/></tr>
<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_bck1000.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2240" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2240</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Achternaam</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck11.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2257" 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: white; background-color: inherit" title="group" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2257</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Contactgegevens</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-group">group</a></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"/></tr>
<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_bck111.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2258" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2258</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Telefoonnummers</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-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck1100.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2259" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2259</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Telefoonnummer</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-string">string</a></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"/></tr>
<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_bck101.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2263" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2263</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">EmailAdressen</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-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck1000.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2264" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2264</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">EmailAdres</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-string">string</a></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"/></tr>
<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.2.16.840.1.113883.2.4.3.11.60.909.2.2.2266" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2266</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Burgerservicenummer (OID: 2.16.840.1.113883.2.4.6.3)</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></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_bck10.png)" id="item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2267" 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-datetime.png" alt="." style="background-color: white; background-color: inherit" title="dateTime" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2267</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Geboortedatum</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-dateTime">dateTime</a></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"/></tr>
<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.2.16.840.1.113883.2.4.3.11.60.909.2.2.2268" 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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 2.16.840.1.113883.2.4.3.11.60.909.2.2.2268</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Geslacht</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"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2268">4 options</a></td></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.2.16.840.1.113883.2.4.3.11.60.909.2.2.2268"> </a><p><b>Answer options for 2.16.840.1.113883.2.4.3.11.60.909.2.2.2268 </b></p><ul><li style="font-size: 11px">http://hl7.org/fhir/administrative-gender#other (&quot;Other&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/administrative-gender#male (&quot;Male&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/administrative-gender#female (&quot;Female&quot;)</li><li style="font-size: 11px">http://hl7.org/fhir/administrative-gender#unknown (&quot;Unknown&quot;)</li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
    <extension url="name">
      <valueCoding>
        <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
        <code value="patient"/>
      </valueCoding>
    </extension>
    <extension url="type">
      <valueCode value="Patient"/>
    </extension>
    <extension url="description">
      <valueString
                   value="The patient that is to be used to pre-populate the form"/>
    </extension>
  </extension>
  <url
       value="http://decor.nictiz.nl/fhir/Questionnaire/2.16.840.1.113883.2.4.3.11.60.909.26.34-2--20240902134017"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.2.4.3.11.60.909.26.34-2"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="patient contactdetails"/>
  <title value="patient contactdetails"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-09-02T13:40:17Z"/>
  <publisher value="Santeon"/>
  <contact>
    <name value="Santeon"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.santeon.nl"/>
    </telecom>
  </contact>
  <effectivePeriod>
    <start value="2024-09-02T13:40:17Z"/>
  </effectivePeriod>
  <item>
    <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2233"/>
    <text value="Naamgegevens">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en-US"/>
        </extension>
        <extension url="content">
          <valueString value="NameInformation"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <required value="true"/>
    <repeats value="false"/>
    <readOnly value="false"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
        <valueExpression>
          <language value="text/fhirpath"/>
          <expression value="%patient.name.given.first()"/>
        </valueExpression>
      </extension>
      <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2234"/>
      <text value="Voornamen">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en-US"/>
          </extension>
          <extension url="content">
            <valueString value="FirstNames"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
      <required value="true"/>
      <repeats value="true"/>
      <readOnly value="false"/>
    </item>
    <item>
      <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2238"/>
      <text value="Geslachtsnaam">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en-US"/>
          </extension>
          <extension url="content">
            <valueString value="LastName"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <required value="true"/>
      <repeats value="true"/>
      <readOnly value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%patient.name.given.last()"/>
          </valueExpression>
        </extension>
        <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2239"/>
        <text value="Voorvoegsels">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en-US"/>
            </extension>
            <extension url="content">
              <valueString value="Prefix"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
        <readOnly value="false"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%patient.name.family"/>
          </valueExpression>
        </extension>
        <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2240"/>
        <text value="Achternaam">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en-US"/>
            </extension>
            <extension url="content">
              <valueString value="LastName"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <required value="true"/>
        <repeats value="false"/>
        <readOnly value="false"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2257"/>
    <text value="Contactgegevens">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en-US"/>
        </extension>
        <extension url="content">
          <valueString value="ContactInformation"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <required value="true"/>
    <repeats value="false"/>
    <readOnly value="false"/>
    <item>
      <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2258"/>
      <text value="Telefoonnummers">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en-US"/>
          </extension>
          <extension url="content">
            <valueString value="TelephoneNumbers"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <required value="true"/>
      <repeats value="false"/>
      <readOnly value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%patient.telecom.where(system='phone').value"/>
          </valueExpression>
        </extension>
        <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2259"/>
        <text value="Telefoonnummer">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en-US"/>
            </extension>
            <extension url="content">
              <valueString value="TelephoneNumber"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <required value="true"/>
        <repeats value="false"/>
        <readOnly value="false"/>
      </item>
    </item>
    <item>
      <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2263"/>
      <text value="EmailAdressen">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en-US"/>
          </extension>
          <extension url="content">
            <valueString value="EmailAddresses"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <required value="true"/>
      <repeats value="false"/>
      <readOnly value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%patient.telecom.where(system='email').value"/>
          </valueExpression>
        </extension>
        <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2264"/>
        <text value="EmailAdres">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en-US"/>
            </extension>
            <extension url="content">
              <valueString value="EmailAddress"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <required value="true"/>
        <repeats value="false"/>
        <readOnly value="false"/>
      </item>
    </item>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
      <valueExpression>
        <language value="text/fhirpath"/>
        <expression
                    value="%patient.identifier.where(system='http://fhir.nl/fhir/NamingSystem/bsn').value"/>
      </valueExpression>
    </extension>
    <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2266"/>
    <text value="Burgerservicenummer (OID: 2.16.840.1.113883.2.4.6.3)">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en-US"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Burgerservicenummer (OID: 2.16.840.1.113883.2.4.6.3)"/>
        </extension>
      </extension>
    </text>
    <type value="string"/>
    <required value="true"/>
    <repeats value="false"/>
    <readOnly value="false"/>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
      <valueExpression>
        <language value="text/fhirpath"/>
        <expression value="%patient.birthDate"/>
      </valueExpression>
    </extension>
    <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2267"/>
    <text value="Geboortedatum">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en-US"/>
        </extension>
        <extension url="content">
          <valueString value="DateOfBirth"/>
        </extension>
      </extension>
    </text>
    <type value="dateTime"/>
    <required value="true"/>
    <repeats value="false"/>
    <readOnly value="false"/>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
      <valueExpression>
        <language value="text/fhirpath"/>
        <expression value="%patient.gender"/>
      </valueExpression>
    </extension>
    <linkId value="2.16.840.1.113883.2.4.3.11.60.909.2.2.2268"/>
    <text value="Geslacht">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en-US"/>
        </extension>
        <extension url="content">
          <valueString value="Gender"/>
        </extension>
      </extension>
    </text>
    <type value="choice"/>
    <required value="true"/>
    <repeats value="false"/>
    <readOnly value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/administrative-gender"/>
        <code value="other"/>
        <display value="Other"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/administrative-gender"/>
        <code value="male"/>
        <display value="Male"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/administrative-gender"/>
        <code value="female"/>
        <display value="Female"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/administrative-gender"/>
        <code value="unknown"/>
        <display value="Unknown"/>
      </valueCoding>
    </answerOption>
  </item>
</Questionnaire>