Smart Health Checks
0.3.0-draft - trial-use

Smart Health Checks - Local Development build (v0.3.0-draft) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Aboriginal and Torres Strait Islander Health Check - Allergies/Adverse Reactions - XML Representation

Draft as of 2025-03-14

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    <Questionnaire xmlns="http://hl7.org/fhir">
      <id value="AllergiesAdverseReactions"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render"/>
        <profile
                 value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular"/>
        <profile
                 value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"/>
        <profile
                 value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-template"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire AllergiesAdverseReactions</b></p><a name="AllergiesAdverseReactions"> </a><a name="hcAllergiesAdverseReactions"> </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"/><p style="margin-bottom: 0px">Profiles: <a href="http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-render.html">Advanced Rendering Questionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-modular.html">SDC Modular Questionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-pop-exp.html">Populatable Questionnaire - Expression</a>, <a href="http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-extr-template.html">Extractable Questionnaire - Template</a></p></div><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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " 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 : var(--ig-left,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"/> AllergiesAdverseReactions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://www.health.gov.au/assessments/mbs/715/AllergiesAdverseReactions#0.3.0-draft</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item.allergy" 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-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> allergy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Allergies/adverse reactions</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.CD-in-progress-3" class="hierarchy"><img src="tbl_spacer.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-display.png" alt="." style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> CD-in-progress-3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">In progress</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.MarkComplete-3">MarkComplete-3</a> != </span></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.CD-complete-3" class="hierarchy"><img src="tbl_spacer.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-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> CD-complete-3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Complete</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.MarkComplete-3">MarkComplete-3</a> = </span></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item.allergyinstruction" class="hierarchy"><img src="tbl_spacer.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-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> allergyinstruction</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Adverse reaction risk summary</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)" id="item.allergysummary" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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"/> allergysummary</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Adverse reaction risk summary</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)" id="item.allergyIntoleranceId" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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.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"/> allergyIntoleranceId</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)" id="item.allergysummary-substance" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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.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"/> allergysummary-substance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Substance</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice">open-choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="https://tx.ontoserver.csiro.au/fhir/ValueSet/adverse-reaction-agent-1">Adverse Reaction Agent</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)" id="item.allergysummary-status" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> allergysummary-status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Status</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-AllergiesAdverseReactions_AllergyIntoleranceClinicalStatusMinimal.html">Allergy Intolerance Clinical Status Minimal</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)" id="item.allergysummary-status-hidden" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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.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"/> allergysummary-status-hidden</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-AllergiesAdverseReactions_AllergyIntoleranceClinicalStatusMinimal.html">Allergy Intolerance Clinical Status Minimal</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)" id="item.allergysummary-manifestation" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> allergysummary-manifestation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Manifestation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice">open-choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="https://tx.ontoserver.csiro.au/fhir/ValueSet/clinical-finding-1">Clinical Finding</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)" id="item.allergysummary-comment" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-text.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="text" class="hierarchy"/> allergysummary-comment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Comment</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text">text</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)" id="item.allergysummary-comment-hidden" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-text.png" alt="." style="background-color: white; background-color: inherit" title="text" class="hierarchy"/> allergysummary-comment-hidden</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text">text</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)" id="item.allergynew" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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"/> allergynew</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">New adverse reaction risks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" id="item.allergynew-substance" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> allergynew-substance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Substance</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice">open-choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="https://tx.ontoserver.csiro.au/fhir/ValueSet/adverse-reaction-agent-1">Adverse Reaction Agent</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)" id="item.allergynew-manifestation" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> allergynew-manifestation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Manifestation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice">open-choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="https://tx.ontoserver.csiro.au/fhir/ValueSet/clinical-finding-1">Clinical Finding</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)" id="item.allergynew-comment" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-text.png" alt="." style="background-color: white; background-color: inherit" title="text" class="hierarchy"/> allergynew-comment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Comment</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text">text</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.3e689aeb-69a1-4a9b-93bd-50377511dd9b" class="hierarchy"><img src="tbl_spacer.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-text.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="text" class="hierarchy"/> 3e689aeb-69a1-4a9b-93bd-50377511dd9b</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Health priorities, actions and follow-up</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text">text</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" id="item.MarkComplete-3" class="hierarchy"><img src="tbl_spacer.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-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> MarkComplete-3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Mark section as complete</td><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr><td colspan="6" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><h2>Contained Resources</h2><hr/><p class="res-header-id"><b>AllergyIntolerance #AllergyIntoleranceTemplate</b></p><a name="AllergiesAdverseReactions/AllergyIntoleranceTemplate"> </a><a name="hcAllergiesAdverseReactions/AllergyIntoleranceTemplate"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:"/></p><p><b>patient</b>: ?rref?</p><p><b>note</b>: </p><blockquote/><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: No display for AllergyIntolerance.reaction.manifestation  (concept: null), No display for AllergyIntolerance.reaction.manifestation  (concept: )</p></blockquote><hr/><p class="res-header-id"><b>Parameters #AllergyIntolerancePatchTemplate</b></p><a name="AllergiesAdverseReactions/AllergyIntolerancePatchTemplate"> </a><a name="hcAllergiesAdverseReactions/AllergyIntolerancePatchTemplate"> </a><h2>Parameters</h2><table class="grid"><tr><td>operation</td><td/></tr><tr><td> type</td><td>add</td></tr><tr><td> path</td><td>AllergyIntolerance</td></tr><tr><td> name</td><td>clinicalStatus</td></tr><tr><td> value</td><td><span title="Codes:"/></td></tr><tr><td> pathLabel</td><td>Clinical status</td></tr><tr><td>operation</td><td/></tr><tr><td> type</td><td>add</td></tr><tr><td> path</td><td><code>Extract Template - Extract value: </code>iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'AllergyIntolerance.note[0]', 'AllergyIntolerance')</td></tr><tr><td> name</td><td><code>Extract Template - Extract value: </code>iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'text', 'note')</td></tr><tr><td> </td><td/></tr><tr><td> </td><td><blockquote/></td></tr><tr><td> pathLabel</td><td>Comment</td></tr></table><hr/><p class="res-header-id"><b>ValueSet #AllergyIntoleranceClinicalStatusMinimal</b></p><a name="AllergiesAdverseReactions/AllergyIntoleranceClinicalStatusMinimal"> </a><a name="hcAllergiesAdverseReactions/AllergyIntoleranceClinicalStatusMinimal"> </a><p style="border: black 1px dotted; background-color: #EEEEEE; padding: 8px; margin-bottom: 8px">Expansion based on <a href="http://terminology.hl7.org/5.5.0/CodeSystem-allergyintolerance-clinical.html">codesystem AllergyIntolerance Clinical Status Codes v1.0.0 (CodeSystem)</a></p><p>This value set contains 2 concepts</p><table class="codes"><tr><td><b>System</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name="AllergiesAdverseReactions/AllergyIntoleranceClinicalStatusMinimal-http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical-active"> </a><code>http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical</code></td><td style="white-space:nowrap">  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-allergyintolerance-clinical.html#allergyintolerance-clinical-active">active</a></td><td>Active</td></tr><tr><td><a name="AllergiesAdverseReactions/AllergyIntoleranceClinicalStatusMinimal-http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical-inactive"> </a><code>http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical</code></td><td style="white-space:nowrap">  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-allergyintolerance-clinical.html#allergyintolerance-clinical-inactive">inactive</a></td><td>Inactive</td></tr></table></div>
      </text>
      <contained>
        <AllergyIntolerance>
          <id value="AllergyIntoleranceTemplate"/>
          <clinicalStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
              <code value="active"/>
            </coding>
          </clinicalStatus>
          <code>
            <extension
                       url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext">
              <valueString
                           value="item.where(linkId='allergynew-substance').answer.value"/>
            </extension>
            <coding>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                <valueString value="ofType(Coding)"/>
              </extension>
            </coding>
            <text>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                <valueString value="ofType(string)"/>
              </extension>
            </text>
          </code>
          <patient>
            <reference>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                <valueString value="%resource.subject.reference"/>
              </extension>
            </reference>
          </patient>
          <note>
            <text>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                <valueString
                             value="item.where(linkId='allergynew-comment').answer.value"/>
              </extension>
            </text>
          </note>
          <reaction>
            <manifestation>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext">
                <valueString
                             value="item.where(linkId='allergynew-manifestation').answer.value.ofType(Coding)"/>
              </extension>
              <coding>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString value="$this"/>
                </extension>
              </coding>
            </manifestation>
            <manifestation>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext">
                <valueString
                             value="item.where(linkId='allergynew-manifestation').answer.value.ofType(string)"/>
              </extension>
              <text>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString value="$this"/>
                </extension>
              </text>
            </manifestation>
          </reaction>
        </AllergyIntolerance>
      </contained>
      <contained>
        <Parameters>
          <id value="AllergyIntolerancePatchTemplate"/>
          <parameter>
            <name value="operation"/>
            <part>
              <name value="type"/>
              <valueCode value="add"/>
            </part>
            <part>
              <name value="path"/>
              <valueString value="AllergyIntolerance"/>
            </part>
            <part>
              <name value="name"/>
              <valueString value="clinicalStatus"/>
            </part>
            <part>
              <name value="value"/>
              <valueCodeableConcept>
                <coding>
                  <extension
                             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                    <valueString
                                 value="item.where(linkId='allergysummary-status').answer.value.first()"/>
                  </extension>
                </coding>
              </valueCodeableConcept>
            </part>
            <part>
              <name value="pathLabel"/>
              <valueString value="Clinical status"/>
            </part>
          </parameter>
          <parameter>
            <name value="operation"/>
            <part>
              <name value="type"/>
              <valueCode value="add"/>
            </part>
            <part>
              <name value="path"/>
              <valueString>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString
                               value="iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'AllergyIntolerance.note[0]', 'AllergyIntolerance')"/>
                </extension>
              </valueString>
            </part>
            <part>
              <name value="name"/>
              <valueString>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString
                               value="iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'text', 'note')"/>
                </extension>
              </valueString>
            </part>
            <part>
              <name>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString
                               value="iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'value')"/>
                </extension>
              </name>
              <valueMarkdown>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString
                               value="iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), item.where(linkId='allergysummary-comment').answer.value.first())"/>
                </extension>
              </valueMarkdown>
            </part>
            <part>
              <name>
                <extension
                           url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                  <valueString
                               value="iif(item.where(linkId='allergysummary-comment-hidden').answer.value.empty(), 'value')"/>
                </extension>
              </name>
              <valueAnnotation>
                <text>
                  <extension
                             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue">
                    <valueString
                                 value="iif(item.where(linkId='allergysummary-comment-hidden').answer.value.empty(), item.where(linkId='allergysummary-comment').answer.value.first())"/>
                  </extension>
                </text>
              </valueAnnotation>
            </part>
            <part>
              <name value="pathLabel"/>
              <valueString value="Comment"/>
            </part>
          </parameter>
        </Parameters>
      </contained>
      <contained>
        <ValueSet>
          <id value="AllergyIntoleranceClinicalStatusMinimal"/>
          <url
               value="https://smartforms.csiro.au/ig/ValueSet/AllergyIntoleranceClinicalStatusMinimal"/>
          <name value="AllergyIntoleranceClinicalStatusMinimal"/>
          <title value="Allergy Intolerance Clinical Status Minimal"/>
          <status value="draft"/>
          <experimental value="false"/>
          <description
                       value="This value set includes the minimal set of codes to represent the clinical status of an allergy intolerance (i.e., active and inactive)."/>
          <compose>
            <include>
              <system
                      value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
              <concept>
                <code value="active"/>
              </concept>
              <concept>
                <code value="inactive"/>
              </concept>
            </include>
          </compose>
          <expansion>
            <identifier value="urn:uuid:40f0c59e-9fa5-4322-bc1d-5fde644a076c"/>
            <timestamp value="2025-08-25T15:52:50+10:00"/>
            <total value="2"/>
            <offset value="0"/>
            <parameter>
              <name value="count"/>
              <valueInteger value="1000"/>
            </parameter>
            <parameter>
              <name value="offset"/>
              <valueInteger value="0"/>
            </parameter>
            <parameter>
              <name value="excludeNested"/>
              <valueBoolean value="false"/>
            </parameter>
            <parameter>
              <name value="used-codesystem"/>
              <valueUri
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical|1.0.0"/>
            </parameter>
            <contains>
              <system
                      value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
              <code value="active"/>
              <display value="Active"/>
            </contains>
            <contains>
              <system
                      value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
              <code value="inactive"/>
              <display value="Inactive"/>
            </contains>
          </expansion>
        </ValueSet>
      </contained>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation">
        <valueCode value="assemble-child"/>
      </extension>
      <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>
      <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="user"/>
          </valueCoding>
        </extension>
        <extension url="type">
          <valueCode value="Practitioner"/>
        </extension>
        <extension url="description">
          <valueString
                       value="The practitioner user that is to be used to pre-populate the form"/>
        </extension>
      </extension>
      <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="encounter"/>
          </valueCoding>
        </extension>
        <extension url="type">
          <valueCode value="Encounter"/>
        </extension>
        <extension url="description">
          <valueString
                       value="The encounter that is to be used to pre-populate the form"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext">
        <valueString value="age"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/variable">
        <valueExpression>
          <name value="AllergyIntolerance"/>
          <language value="application/x-fhir-query"/>
          <expression value="AllergyIntolerance?patient={{%patient.id}}"/>
        </valueExpression>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]">
        <valueCoding>
          <system value="http://hl7.org/fhir/version-algorithm"/>
          <code value="semver"/>
        </valueCoding>
      </extension>
      <url
           value="http://www.health.gov.au/assessments/mbs/715/AllergiesAdverseReactions"/>
      <version value="0.3.0-draft"/>
      <name value="AllergiesAdverseReactions"/>
      <title
             value="Aboriginal and Torres Strait Islander Health Check - Allergies/Adverse Reactions"/>
      <status value="draft"/>
      <experimental value="false"/>
      <subjectType value="Patient"/>
      <date value="2025-03-14"/>
      <publisher value="AEHRC CSIRO"/>
      <contact>
        <name value="AEHRC CSIRO"/>
        <telecom>
          <system value="url"/>
          <value
                 value="https://confluence.csiro.au/display/PCDQFPhase2/Primary+Care+Data+Quality+Foundations+-+Phase+2"/>
        </telecom>
      </contact>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="AU"/>
          <display value="Australia"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved.
    This content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
    See https://creativecommons.org/licenses/by-sa/4.0/.
    "/>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%age.exists()"/>
          </valueExpression>
        </extension>
        <linkId value="allergy"/>
        <text value="Allergies/adverse reactions"/>
        <type value="group"/>
        <repeats value="false"/>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system
                        value="https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended"/>
                <code value="context-display"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <linkId value="CD-in-progress-3"/>
          <text value="In progress">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
              <valueString
                           value="&lt;div title=&quot;In progress&quot; xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
    	&lt;div style=&quot;display: flex; flex-direction: row;&quot;&gt;
    		&lt;img width='24' height='24' src='data:image/svg+xml;base64,
    		 '
    		style=&quot;align-self: center;&quot;/&gt;
    	&lt;/div&gt;
    &lt;/div&gt;"/>
            </extension>
          </text>
          <type value="display"/>
          <enableWhen>
            <question value="MarkComplete-3"/>
            <operator value="!="/>
            <answerBoolean value="true"/>
          </enableWhen>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system
                        value="https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended"/>
                <code value="context-display"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <linkId value="CD-complete-3"/>
          <text value="Complete">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
              <valueString
                           value="&lt;div title=&quot;Section completed&quot; xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
    	&lt;div style=&quot;display: flex; flex-direction: row;&quot;&gt;
    		&lt;img width='24' height='24' src='data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxZW0iIGhlaWdodD0iMWVtIiB2aWV3Qm94PSIwIDAgMjQgMjQiPjxwYXRoIGZpbGw9IiMyZTdkMzIiIGQ9Ik0yMCAxMmE4IDggMCAwIDEtOCA4YTggOCAwIDAgMS04LThhOCA4IDAgMCAxIDgtOGMuNzYgMCAxLjUuMTEgMi4yLjMxbDEuNTctMS41N0E5LjgyMiA5LjgyMiAwIDAgMCAxMiAyQTEwIDEwIDAgMCAwIDIgMTJhMTAgMTAgMCAwIDAgMTAgMTBhMTAgMTAgMCAwIDAgMTAtMTBNNy45MSAxMC4wOEw2LjUgMTEuNUwxMSAxNkwyMSA2bC0xLjQxLTEuNDJMMTEgMTMuMTdsLTMuMDktMy4wOVoiLz48L3N2Zz4='
    		style=&quot;align-self: center;&quot;/&gt;
    	&lt;/div&gt;
    &lt;/div&gt;"/>
            </extension>
          </text>
          <type value="display"/>
          <enableWhen>
            <question value="MarkComplete-3"/>
            <operator value="="/>
            <answerBoolean value="true"/>
          </enableWhen>
        </item>
        <item>
          <linkId value="allergyinstruction"/>
          <text value="Adverse reaction risk summary">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
              <valueString
                           value="&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
        &lt;p&gt;Adverse reaction risk summary&lt;/p&gt;
        &lt;p style=&quot;font-size:0.9em; font-weight:normal&quot;&gt;&lt;em&gt;This section includes a list of existing items from the patient record. &lt;br /&gt;Update these items here or update the patient record and repopulate the form. &lt;br /&gt;Add new items at the bottom.&lt;/em&gt;&lt;/p&gt;
        &lt;/div&gt;"/>
            </extension>
          </text>
          <type value="group"/>
          <item>
            <extension
                       url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemPopulationContext">
              <valueExpression>
                <name value="AllergyIntoleranceRepeat"/>
                <language value="text/fhirpath"/>
                <expression
                            value="%AllergyIntolerance.entry.resource.where(clinicalStatus.coding.exists(code='active')).where(verificationStatus.coding.all(code.empty() or code='confirmed'))"/>
              </valueExpression>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
              <extension url="template">
                <valueReference>
                  <reference value="#AllergyIntolerancePatchTemplate"/>
                </valueReference>
              </extension>
              <extension
                         url="https://smartforms.csiro.au/ig/StructureDefinition/TemplateExtractExtensionPatchRequestUrl">
                <valueString
                             value="'AllergyIntolerance/' + item.where(linkId='allergyIntoleranceId').answer.value"/>
              </extension>
            </extension>
            <extension
                       url="https://smartforms.csiro.au/ig/StructureDefinition/GroupHideAddItemButton">
              <valueBoolean value="true"/>
            </extension>
            <linkId value="allergysummary"/>
            <text value="Adverse reaction risk summary">
              <extension
                         url="https://smartforms.csiro.au/ig/StructureDefinition/QuestionnaireItemTextHidden">
                <valueBoolean value="true"/>
              </extension>
            </text>
            <type value="group"/>
            <repeats value="true"/>
            <item>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
                <valueBoolean value="true"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression value="%AllergyIntoleranceRepeat.id"/>
                </valueExpression>
              </extension>
              <linkId value="allergyIntoleranceId"/>
              <type value="string"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression
                              value="%AllergyIntoleranceRepeat.code.select((coding.where(system='http://snomed.info/sct') | coding.where(system!='http://snomed.info/sct').first() | text ).first())"/>
                </valueExpression>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="autocomplete"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <linkId value="allergysummary-substance"/>
              <text value="Substance"/>
              <type value="open-choice"/>
              <repeats value="false"/>
              <readOnly value="true"/>
              <answerValueSet
                              value="https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression
                              value="%AllergyIntoleranceRepeat.clinicalStatus.coding"/>
                </valueExpression>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="drop-down"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <linkId value="allergysummary-status"/>
              <text value="Status"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerValueSet value="#AllergyIntoleranceClinicalStatusMinimal"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression
                              value="%AllergyIntoleranceRepeat.clinicalStatus.coding"/>
                </valueExpression>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
                <valueBoolean value="true"/>
              </extension>
              <linkId value="allergysummary-status-hidden"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerValueSet value="#AllergyIntoleranceClinicalStatusMinimal"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression
                              value="%AllergyIntoleranceRepeat.reaction.manifestation.select((coding.where(system='http://snomed.info/sct') | coding.where(system!='http://snomed.info/sct').first() | text ).first())"/>
                </valueExpression>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="autocomplete"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <linkId value="allergysummary-manifestation"/>
              <text value="Manifestation"/>
              <type value="open-choice"/>
              <repeats value="true"/>
              <readOnly value="true"/>
              <answerValueSet
                              value="https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression value="%AllergyIntoleranceRepeat.note[0].text"/>
                </valueExpression>
              </extension>
              <linkId value="allergysummary-comment"/>
              <text value="Comment"/>
              <type value="text"/>
              <repeats value="false"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
                <valueExpression>
                  <language value="text/fhirpath"/>
                  <expression value="%AllergyIntoleranceRepeat.note[0].text"/>
                </valueExpression>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
                <valueBoolean value="true"/>
              </extension>
              <linkId value="allergysummary-comment-hidden"/>
              <type value="text"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <extension
                       url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract">
              <extension url="template">
                <valueReference>
                  <reference value="#AllergyIntoleranceTemplate"/>
                </valueReference>
              </extension>
            </extension>
            <linkId value="allergynew"/>
            <text value="New adverse reaction risks">
              <extension
                         url="https://smartforms.csiro.au/ig/StructureDefinition/QuestionnaireItemTextHidden">
                <valueBoolean value="true"/>
              </extension>
            </text>
            <type value="group"/>
            <repeats value="true"/>
            <item>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="autocomplete"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <linkId value="allergynew-substance"/>
              <text value="Substance"/>
              <type value="open-choice"/>
              <required value="true"/>
              <repeats value="false"/>
              <answerValueSet
                              value="https://healthterminologies.gov.au/fhir/ValueSet/adverse-reaction-agent-1"/>
            </item>
            <item>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="autocomplete"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <linkId value="allergynew-manifestation"/>
              <text value="Manifestation"/>
              <type value="open-choice"/>
              <repeats value="true"/>
              <answerValueSet
                              value="https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1"/>
            </item>
            <item>
              <linkId value="allergynew-comment"/>
              <text value="Comment"/>
              <type value="text"/>
              <repeats value="false"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="3e689aeb-69a1-4a9b-93bd-50377511dd9b"/>
          <text value="Health priorities, actions and follow-up"/>
          <type value="text"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="MarkComplete-3"/>
          <text value="Mark section as complete">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
              <valueString
                           value="&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
    &lt;head&gt;
        &lt;style type=&quot;text/css&quot;&gt;
            .alert {
                padding: 0.875rem;
                margin-bottom: 1rem;
                font-size: 0.875rem;
                color: #29712D;
                border-radius: 0.5rem;
                background-color: #D9E8DA;
                font-weight: 700;
            max-width: 205px;
            }
        &lt;/style&gt;
    &lt;/head&gt;
    &lt;body&gt;
    &lt;div class=&quot;alert&quot;&gt;Mark section as complete&lt;/div&gt;
    &lt;/body&gt;
    &lt;/div&gt;"/>
            </extension>
          </text>
          <type value="boolean"/>
          <repeats value="false"/>
        </item>
      </item>
    </Questionnaire>