diff --git a/.gitignore b/.gitignore
index 15c2365..9dd5a85 100644
--- a/.gitignore
+++ b/.gitignore
@@ -6,3 +6,5 @@ build
 .DS_Store
 .editorconfig
 Makefile
+test/benchmark/prev-fhirpath
+test/benchmark/results
diff --git a/CHANGELOG.md b/CHANGELOG.md
index c96beb9..3b0625d 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -3,6 +3,10 @@
 This log documents significant changes for each release.  This project follows
 [Semantic Versioning](http://semver.org/).
 
+## [2.14.4] - 2022-05-23
+### Added
+- Suite of performance tests.
+
 ## [2.14.3] - 2022-05-02
 ### Changed
 - Updated to NodeJS 16.
diff --git a/package-lock.json b/package-lock.json
index 3b17821..ec3f655 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -1,12 +1,12 @@
 {
   "name": "fhirpath",
-  "version": "2.14.3",
+  "version": "2.14.4",
   "lockfileVersion": 2,
   "requires": true,
   "packages": {
     "": {
       "name": "fhirpath",
-      "version": "2.14.3",
+      "version": "2.14.4",
       "license": "MIT",
       "dependencies": {
         "@lhncbc/ucum-lhc": "^4.1.3",
@@ -23,6 +23,7 @@
         "@babel/eslint-parser": "^7.17.0",
         "@babel/preset-env": "^7.16.11",
         "babel-loader": "^8.2.3",
+        "benny": "^3.7.1",
         "bestzip": "^2.2.0",
         "copy-webpack-plugin": "^6.0.3",
         "eslint": "^8.10.0",
@@ -36,6 +37,7 @@
         "jest": "^27.3.1",
         "jit-grunt": "^0.10.0",
         "lodash": "^4.17.21",
+        "open": "^8.4.0",
         "rimraf": "^3.0.0",
         "tmp": "0.0.33",
         "webpack": "^5.11.1",
@@ -60,6 +62,48 @@
         "node": ">=6.0.0"
       }
     },
+    "node_modules/@arrows/array": {
+      "version": "1.4.1",
+      "resolved": "https://registry.npmjs.org/@arrows/array/-/array-1.4.1.tgz",
+      "integrity": "sha512-MGYS8xi3c4tTy1ivhrVntFvufoNzje0PchjEz6G/SsWRgUKxL4tKwS6iPdO8vsaJYldagAeWMd5KRD0aX3Q39g==",
+      "dev": true,
+      "dependencies": {
+        "@arrows/composition": "^1.2.2"
+      }
+    },
+    "node_modules/@arrows/composition": {
+      "version": "1.2.2",
+      "resolved": "https://registry.npmjs.org/@arrows/composition/-/composition-1.2.2.tgz",
+      "integrity": "sha512-9fh1yHwrx32lundiB3SlZ/VwuStPB4QakPsSLrGJFH6rCXvdrd060ivAZ7/2vlqPnEjBkPRRXOcG1YOu19p2GQ==",
+      "dev": true
+    },
+    "node_modules/@arrows/dispatch": {
+      "version": "1.0.3",
+      "resolved": "https://registry.npmjs.org/@arrows/dispatch/-/dispatch-1.0.3.tgz",
+      "integrity": "sha512-v/HwvrFonitYZM2PmBlAlCqVqxrkIIoiEuy5bQgn0BdfvlL0ooSBzcPzTMrtzY8eYktPyYcHg8fLbSgyybXEqw==",
+      "dev": true,
+      "dependencies": {
+        "@arrows/composition": "^1.2.2"
+      }
+    },
+    "node_modules/@arrows/error": {
+      "version": "1.0.2",
+      "resolved": "https://registry.npmjs.org/@arrows/error/-/error-1.0.2.tgz",
+      "integrity": "sha512-yvkiv1ay4Z3+Z6oQsUkedsQm5aFdyPpkBUQs8vejazU/RmANABx6bMMcBPPHI4aW43VPQmXFfBzr/4FExwWTEA==",
+      "dev": true
+    },
+    "node_modules/@arrows/multimethod": {
+      "version": "1.4.1",
+      "resolved": "https://registry.npmjs.org/@arrows/multimethod/-/multimethod-1.4.1.tgz",
+      "integrity": "sha512-AZnAay0dgPnCJxn3We5uKiB88VL+1ZIF2SjZohLj6vqY2UyvB/sKdDnFP+LZNVsTC5lcnGPmLlRRkAh4sXkXsQ==",
+      "dev": true,
+      "dependencies": {
+        "@arrows/array": "^1.4.1",
+        "@arrows/composition": "^1.2.2",
+        "@arrows/error": "^1.0.2",
+        "fast-deep-equal": "^3.1.3"
+      }
+    },
     "node_modules/@babel/code-frame": {
       "version": "7.8.3",
       "resolved": "https://registry.npmjs.org/@babel/code-frame/-/code-frame-7.8.3.tgz",
@@ -4057,21 +4101,6 @@
         }
       }
     },
-    "node_modules/@jest/core/node_modules/ansi-escapes": {
-      "version": "4.3.2",
-      "resolved": "https://registry.npmjs.org/ansi-escapes/-/ansi-escapes-4.3.2.tgz",
-      "integrity": "sha512-gKXj5ALrKWQLsYG9jlTRmR/xKluxHV+Z9QEwNIgCfM1/uwPMCuzVVnh5mwTd+OuBZcwSIMbqssNWRm1lE51QaQ==",
-      "dev": true,
-      "dependencies": {
-        "type-fest": "^0.21.3"
-      },
-      "engines": {
-        "node": ">=8"
-      },
-      "funding": {
-        "url": "https://github.com/sponsors/sindresorhus"
-      }
-    },
     "node_modules/@jest/core/node_modules/ansi-styles": {
       "version": "4.3.0",
       "resolved": "https://registry.npmjs.org/ansi-styles/-/ansi-styles-4.3.0.tgz",
@@ -5243,6 +5272,21 @@
         "url": "https://github.com/sponsors/epoberezkin"
       }
     },
+    "node_modules/ansi-escapes": {
+      "version": "4.3.2",
+      "resolved": "https://registry.npmjs.org/ansi-escapes/-/ansi-escapes-4.3.2.tgz",
+      "integrity": "sha512-gKXj5ALrKWQLsYG9jlTRmR/xKluxHV+Z9QEwNIgCfM1/uwPMCuzVVnh5mwTd+OuBZcwSIMbqssNWRm1lE51QaQ==",
+      "dev": true,
+      "dependencies": {
+        "type-fest": "^0.21.3"
+      },
+      "engines": {
+        "node": ">=8"
+      },
+      "funding": {
+        "url": "https://github.com/sponsors/sindresorhus"
+      }
+    },
     "node_modules/ansi-regex": {
       "version": "5.0.1",
       "resolved": "https://registry.npmjs.org/ansi-regex/-/ansi-regex-5.0.1.tgz",
@@ -5419,6 +5463,15 @@
         "node": ">=0.8"
       }
     },
+    "node_modules/astral-regex": {
+      "version": "2.0.0",
+      "resolved": "https://registry.npmjs.org/astral-regex/-/astral-regex-2.0.0.tgz",
+      "integrity": "sha512-Z7tMw1ytTXt5jqMcOP+OQteU1VuNK9Y02uuJtKQ1Sv69jXQKKg5cibLwGJow8yzZP+eAc18EmLGPal0bp36rvQ==",
+      "dev": true,
+      "engines": {
+        "node": ">=8"
+      }
+    },
     "node_modules/async": {
       "version": "3.2.3",
       "resolved": "https://registry.npmjs.org/async/-/async-3.2.3.tgz",
@@ -5784,6 +5837,45 @@
         "tweetnacl": "^0.14.3"
       }
     },
+    "node_modules/benchmark": {
+      "version": "2.1.4",
+      "resolved": "https://registry.npmjs.org/benchmark/-/benchmark-2.1.4.tgz",
+      "integrity": "sha512-l9MlfN4M1K/H2fbhfMy3B7vJd6AGKJVQn2h6Sg/Yx+KckoUA7ewS5Vv6TjSq18ooE1kS9hhAlQRH3AkXIh/aOQ==",
+      "dev": true,
+      "dependencies": {
+        "lodash": "^4.17.4",
+        "platform": "^1.3.3"
+      }
+    },
+    "node_modules/benny": {
+      "version": "3.7.1",
+      "resolved": "https://registry.npmjs.org/benny/-/benny-3.7.1.tgz",
+      "integrity": "sha512-USzYxODdVfOS7JuQq/L0naxB788dWCiUgUTxvN+WLPt/JfcDURNNj8kN/N+uK6PDvuR67/9/55cVKGPleFQINA==",
+      "dev": true,
+      "dependencies": {
+        "@arrows/composition": "^1.0.0",
+        "@arrows/dispatch": "^1.0.2",
+        "@arrows/multimethod": "^1.1.6",
+        "benchmark": "^2.1.4",
+        "common-tags": "^1.8.0",
+        "fs-extra": "^10.0.0",
+        "json2csv": "^5.0.6",
+        "kleur": "^4.1.4",
+        "log-update": "^4.0.0"
+      },
+      "engines": {
+        "node": ">=12"
+      }
+    },
+    "node_modules/benny/node_modules/kleur": {
+      "version": "4.1.4",
+      "resolved": "https://registry.npmjs.org/kleur/-/kleur-4.1.4.tgz",
+      "integrity": "sha512-8QADVssbrFjivHWQU7KkMgptGTl6WAcSdlbBPY4uNF+mWr6DGcKrvY2w4FQJoXch7+fKMjj0dRrL75vk3k23OA==",
+      "dev": true,
+      "engines": {
+        "node": ">=6"
+      }
+    },
     "node_modules/bestzip": {
       "version": "2.2.0",
       "resolved": "https://registry.npmjs.org/bestzip/-/bestzip-2.2.0.tgz",
@@ -5803,35 +5895,6 @@
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-    "node_modules/bestzip/node_modules/emoji-regex": {
-      "version": "8.0.0",
-      "resolved": "https://registry.npmjs.org/emoji-regex/-/emoji-regex-8.0.0.tgz",
-      "integrity": "sha512-MSjYzcWNOA0ewAHpz0MxpYFvwg6yjy1NG3xteoqz644VCo/RPgnr1/GGt+ic3iJTzQ8Eu3TdM14SawnVUmGE6A==",
-      "dev": true
-    },
-    "node_modules/bestzip/node_modules/is-fullwidth-code-point": {
-      "version": "3.0.0",
-      "resolved": "https://registry.npmjs.org/is-fullwidth-code-point/-/is-fullwidth-code-point-3.0.0.tgz",
-      "integrity": "sha512-zymm5+u+sCsSWyD9qNaejV3DFvhCKclKdizYaJUuHA83RLjb7nSuGnddCHGv0hk+KY7BMAlsWeK4Ueg6EV6XQg==",
-      "dev": true,
-      "engines": {
-        "node": ">=8"
-      }
-    },
-    "node_modules/bestzip/node_modules/string-width": {
-      "version": "4.2.3",
-      "resolved": "https://registry.npmjs.org/string-width/-/string-width-4.2.3.tgz",
-      "integrity": "sha512-wKyQRQpjJ0sIp62ErSZdGsjMJWsap5oRNihHhu6G7JVO/9jIB6UyevL+tXuOqrng8j/cxKTWyWUwvSTriiZz/g==",
-      "dev": true,
-      "dependencies": {
-        "emoji-regex": "^8.0.0",
-        "is-fullwidth-code-point": "^3.0.0",
-        "strip-ansi": "^6.0.1"
-      },
-      "engines": {
-        "node": ">=8"
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-    },
     "node_modules/bestzip/node_modules/which": {
       "version": "2.0.2",
       "resolved": "https://registry.npmjs.org/which/-/which-2.0.2.tgz",
@@ -6118,6 +6181,18 @@
         "node": ">=6"
       }
     },
+    "node_modules/cli-cursor": {
+      "version": "3.1.0",
+      "resolved": "https://registry.npmjs.org/cli-cursor/-/cli-cursor-3.1.0.tgz",
+      "integrity": "sha512-I/zHAwsKf9FqGoXM4WWRACob9+SNukZTd94DWF57E4toouRulbCxcUh6RKUEOQlYTHJnzkPMySvPNaaSLNfLZw==",
+      "dev": true,
+      "dependencies": {
+        "restore-cursor": "^3.1.0"
+      },
+      "engines": {
+        "node": ">=8"
+      }
+    },
     "node_modules/cliui": {
       "version": "7.0.4",
       "resolved": "https://registry.npmjs.org/cliui/-/cliui-7.0.4.tgz",
@@ -6129,35 +6204,6 @@
         "wrap-ansi": "^7.0.0"
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     },
-    "node_modules/cliui/node_modules/emoji-regex": {
-      "version": "8.0.0",
-      "resolved": "https://registry.npmjs.org/emoji-regex/-/emoji-regex-8.0.0.tgz",
-      "integrity": "sha512-MSjYzcWNOA0ewAHpz0MxpYFvwg6yjy1NG3xteoqz644VCo/RPgnr1/GGt+ic3iJTzQ8Eu3TdM14SawnVUmGE6A==",
-      "dev": true
-    },
-    "node_modules/cliui/node_modules/is-fullwidth-code-point": {
-      "version": "3.0.0",
-      "resolved": "https://registry.npmjs.org/is-fullwidth-code-point/-/is-fullwidth-code-point-3.0.0.tgz",
-      "integrity": "sha512-zymm5+u+sCsSWyD9qNaejV3DFvhCKclKdizYaJUuHA83RLjb7nSuGnddCHGv0hk+KY7BMAlsWeK4Ueg6EV6XQg==",
-      "dev": true,
-      "engines": {
-        "node": ">=8"
-      }
-    },
-    "node_modules/cliui/node_modules/string-width": {
-      "version": "4.2.3",
-      "resolved": "https://registry.npmjs.org/string-width/-/string-width-4.2.3.tgz",
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-      "dev": true,
-      "dependencies": {
-        "emoji-regex": "^8.0.0",
-        "is-fullwidth-code-point": "^3.0.0",
-        "strip-ansi": "^6.0.1"
-      },
-      "engines": {
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       "resolved": "https://registry.npmjs.org/clone-deep/-/clone-deep-4.0.1.tgz",
@@ -6256,6 +6302,15 @@
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     },
+    "node_modules/common-tags": {
+      "version": "1.8.2",
+      "resolved": "https://registry.npmjs.org/common-tags/-/common-tags-1.8.2.tgz",
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+      "dev": true,
+      "engines": {
+        "node": ">=4.0.0"
+      }
+    },
     "node_modules/commondir": {
       "version": "1.0.1",
       "resolved": "https://registry.npmjs.org/commondir/-/commondir-1.0.1.tgz",
@@ -6684,6 +6739,15 @@
         "node": ">=0.10.0"
       }
     },
+    "node_modules/define-lazy-prop": {
+      "version": "2.0.0",
+      "resolved": "https://registry.npmjs.org/define-lazy-prop/-/define-lazy-prop-2.0.0.tgz",
+      "integrity": "sha512-Ds09qNh8yw3khSjiJjiUInaGX9xlqZDY7JVryGxdxV7NPeuqQfplOpQ66yJFZut3jLa5zOwkXw1g9EI2uKh4Og==",
+      "dev": true,
+      "engines": {
+        "node": ">=8"
+      }
+    },
     "node_modules/define-properties": {
       "version": "1.1.3",
       "resolved": "https://registry.npmjs.org/define-properties/-/define-properties-1.1.3.tgz",
@@ -6917,6 +6981,12 @@
         "url": "https://github.com/sindresorhus/emittery?sponsor=1"
       }
     },
+    "node_modules/emoji-regex": {
+      "version": "8.0.0",
+      "resolved": "https://registry.npmjs.org/emoji-regex/-/emoji-regex-8.0.0.tgz",
+      "integrity": "sha512-MSjYzcWNOA0ewAHpz0MxpYFvwg6yjy1NG3xteoqz644VCo/RPgnr1/GGt+ic3iJTzQ8Eu3TdM14SawnVUmGE6A==",
+      "dev": true
+    },
     "node_modules/emojis-list": {
       "version": "3.0.0",
       "resolved": "https://registry.npmjs.org/emojis-list/-/emojis-list-3.0.0.tgz",
@@ -7271,12 +7341,6 @@
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       }
     },
-    "node_modules/eslint/node_modules/fast-deep-equal": {
-      "version": "3.1.3",
-      "resolved": "https://registry.npmjs.org/fast-deep-equal/-/fast-deep-equal-3.1.3.tgz",
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-      "dev": true
-    },
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       "resolved": "https://registry.npmjs.org/glob-parent/-/glob-parent-6.0.2.tgz",
@@ -7674,9 +7738,9 @@
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-      "resolved": "https://registry.npmjs.org/fast-deep-equal/-/fast-deep-equal-3.1.1.tgz",
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+      "resolved": "https://registry.npmjs.org/fast-deep-equal/-/fast-deep-equal-3.1.3.tgz",
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@@ -8039,6 +8103,41 @@
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       "dev": true
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+    "node_modules/fs-extra": {
+      "version": "10.1.0",
+      "resolved": "https://registry.npmjs.org/fs-extra/-/fs-extra-10.1.0.tgz",
+      "integrity": "sha512-oRXApq54ETRj4eMiFzGnHWGy+zo5raudjuxN0b8H7s/RU2oW0Wvsx9O0ACRN/kRq9E8Vu/ReskGB5o3ji+FzHQ==",
+      "dev": true,
+      "dependencies": {
+        "graceful-fs": "^4.2.0",
+        "jsonfile": "^6.0.1",
+        "universalify": "^2.0.0"
+      },
+      "engines": {
+        "node": ">=12"
+      }
+    },
+    "node_modules/fs-extra/node_modules/jsonfile": {
+      "version": "6.1.0",
+      "resolved": "https://registry.npmjs.org/jsonfile/-/jsonfile-6.1.0.tgz",
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+      "dev": true,
+      "dependencies": {
+        "universalify": "^2.0.0"
+      },
+      "optionalDependencies": {
+        "graceful-fs": "^4.1.6"
+      }
+    },
+    "node_modules/fs-extra/node_modules/universalify": {
+      "version": "2.0.0",
+      "resolved": "https://registry.npmjs.org/universalify/-/universalify-2.0.0.tgz",
+      "integrity": "sha512-hAZsKq7Yy11Zu1DE0OzWjw7nnLZmJZYTDZZyEFHZdUhV8FkH5MCfoU1XMaxXovpyW5nq5scPqq0ZDP9Zyl04oQ==",
+      "dev": true,
+      "engines": {
+        "node": ">= 10.0.0"
+      }
+    },
     "node_modules/fs-minipass": {
       "version": "2.1.0",
       "resolved": "https://registry.npmjs.org/fs-minipass/-/fs-minipass-2.1.0.tgz",
@@ -8261,9 +8360,9 @@
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-      "resolved": "https://registry.npmjs.org/grunt/-/grunt-1.5.2.tgz",
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+      "version": "1.5.3",
+      "resolved": "https://registry.npmjs.org/grunt/-/grunt-1.5.3.tgz",
+      "integrity": "sha512-mKwmo4X2d8/4c/BmcOETHek675uOqw0RuA/zy12jaspWqvTp4+ZeQF1W+OTpcbncnaBsfbQJ6l0l4j+Sn/GmaQ==",
       "dependencies": {
         "dateformat": "~3.0.3",
         "eventemitter2": "~0.4.13",
@@ -8906,6 +9005,21 @@
         "url": "https://github.com/sponsors/ljharb"
       }
     },
+    "node_modules/is-docker": {
+      "version": "2.2.1",
+      "resolved": "https://registry.npmjs.org/is-docker/-/is-docker-2.2.1.tgz",
+      "integrity": "sha512-F+i2BKsFrH66iaUFc0woD8sLy8getkwTwtOBjvs56Cx4CgJDeKQeqfz8wAYiSb8JOprWhHH5p77PbmYCvvUuXQ==",
+      "dev": true,
+      "bin": {
+        "is-docker": "cli.js"
+      },
+      "engines": {
+        "node": ">=8"
+      },
+      "funding": {
+        "url": "https://github.com/sponsors/sindresorhus"
+      }
+    },
     "node_modules/is-extglob": {
       "version": "2.1.1",
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-          "dev": true
-        }
       }
     },
     "merge-stream": {
@@ -25324,6 +25538,12 @@
         "mime-db": "1.44.0"
       }
     },
+    "mimic-fn": {
+      "version": "2.1.0",
+      "resolved": "https://registry.npmjs.org/mimic-fn/-/mimic-fn-2.1.0.tgz",
+      "integrity": "sha512-OqbOk5oEQeAZ8WXWydlu9HJjz9WVdEIvamMCcXmuqUYjTknH/sqsWvhQ3vgwKFRR1HpjvNBKQ37nbJgYzGqGcg==",
+      "dev": true
+    },
     "minimatch": {
       "version": "3.0.4",
       "resolved": "https://registry.npmjs.org/minimatch/-/minimatch-3.0.4.tgz",
@@ -25599,6 +25819,37 @@
         "wrappy": "1"
       }
     },
+    "onetime": {
+      "version": "5.1.2",
+      "resolved": "https://registry.npmjs.org/onetime/-/onetime-5.1.2.tgz",
+      "integrity": "sha512-kbpaSSGJTWdAY5KPVeMOKXSrPtr8C8C7wodJbcsd51jRnmD+GZu8Y0VoU6Dm5Z4vWr0Ig/1NKuWRKf7j5aaYSg==",
+      "dev": true,
+      "requires": {
+        "mimic-fn": "^2.1.0"
+      }
+    },
+    "open": {
+      "version": "8.4.0",
+      "resolved": "https://registry.npmjs.org/open/-/open-8.4.0.tgz",
+      "integrity": "sha512-XgFPPM+B28FtCCgSb9I+s9szOC1vZRSwgWsRUA5ylIxRTgKozqjOCrVOqGsYABPYK5qnfqClxZTFBa8PKt2v6Q==",
+      "dev": true,
+      "requires": {
+        "define-lazy-prop": "^2.0.0",
+        "is-docker": "^2.1.1",
+        "is-wsl": "^2.2.0"
+      },
+      "dependencies": {
+        "is-wsl": {
+          "version": "2.2.0",
+          "resolved": "https://registry.npmjs.org/is-wsl/-/is-wsl-2.2.0.tgz",
+          "integrity": "sha512-fKzAra0rGJUUBwGBgNkHZuToZcn+TtXHpeCgmkMJMMYx1sQDYaCSyjJBSCa2nH1DGm7s3n1oBnohoVTBaN7Lww==",
+          "dev": true,
+          "requires": {
+            "is-docker": "^2.0.0"
+          }
+        }
+      }
+    },
     "opener": {
       "version": "1.5.2",
       "resolved": "https://registry.npmjs.org/opener/-/opener-1.5.2.tgz",
@@ -25843,6 +26094,12 @@
         "find-up": "^4.0.0"
       }
     },
+    "platform": {
+      "version": "1.3.6",
+      "resolved": "https://registry.npmjs.org/platform/-/platform-1.3.6.tgz",
+      "integrity": "sha512-fnWVljUchTro6RiCFvCXBbNhJc2NijN7oIQxbwsyL0buWJPG85v81ehlHI9fXrJsMNgTofEoWIQeClKpgxFLrg==",
+      "dev": true
+    },
     "portscanner": {
       "version": "2.2.0",
       "resolved": "https://registry.npmjs.org/portscanner/-/portscanner-2.2.0.tgz",
@@ -26437,6 +26694,16 @@
       "integrity": "sha512-J1l+Zxxp4XK3LUDZ9m60LRJF/mAe4z6a4xyabPHk7pvK5t35dACV32iIjJDFeWZFfZlO29w6SZ67knR0tHzJtQ==",
       "dev": true
     },
+    "restore-cursor": {
+      "version": "3.1.0",
+      "resolved": "https://registry.npmjs.org/restore-cursor/-/restore-cursor-3.1.0.tgz",
+      "integrity": "sha512-l+sSefzHpj5qimhFSE5a8nufZYAM3sBSVMAPtYkmC+4EH2anSGaEMXSD0izRQbu9nfyQ9y5JrVmp7E8oZrUjvA==",
+      "dev": true,
+      "requires": {
+        "onetime": "^5.1.0",
+        "signal-exit": "^3.0.2"
+      }
+    },
     "reusify": {
       "version": "1.0.4",
       "resolved": "https://registry.npmjs.org/reusify/-/reusify-1.0.4.tgz",
@@ -26766,6 +27033,49 @@
       "integrity": "sha512-g9Q1haeby36OSStwb4ntCGGGaKsaVSjQ68fBxoQcutl5fS1vuY18H3wSt3jFyFtrkx+Kz0V1G85A4MyAdDMi2Q==",
       "dev": true
     },
+    "slice-ansi": {
+      "version": "4.0.0",
+      "resolved": "https://registry.npmjs.org/slice-ansi/-/slice-ansi-4.0.0.tgz",
+      "integrity": "sha512-qMCMfhY040cVHT43K9BFygqYbUPFZKHOg7K73mtTWJRb8pyP3fzf4Ixd5SzdEJQ6MRUg/WBnOLxghZtKKurENQ==",
+      "dev": true,
+      "requires": {
+        "ansi-styles": "^4.0.0",
+        "astral-regex": "^2.0.0",
+        "is-fullwidth-code-point": "^3.0.0"
+      },
+      "dependencies": {
+        "ansi-styles": {
+          "version": "4.3.0",
+          "resolved": "https://registry.npmjs.org/ansi-styles/-/ansi-styles-4.3.0.tgz",
+          "integrity": "sha512-zbB9rCJAT1rbjiVDb2hqKFHNYLxgtk8NURxZ3IZwD3F6NtxbXZQCnnSi1Lkx+IDohdPlFp222wVALIheZJQSEg==",
+          "dev": true,
+          "requires": {
+            "color-convert": "^2.0.1"
+          }
+        },
+        "color-convert": {
+          "version": "2.0.1",
+          "resolved": "https://registry.npmjs.org/color-convert/-/color-convert-2.0.1.tgz",
+          "integrity": "sha512-RRECPsj7iu/xb5oKYcsFHSppFNnsj/52OVTRKb4zP5onXwVF3zVmmToNcOfGC+CRDpfK/U584fMg38ZHCaElKQ==",
+          "dev": true,
+          "requires": {
+            "color-name": "~1.1.4"
+          }
+        },
+        "color-name": {
+          "version": "1.1.4",
+          "resolved": "https://registry.npmjs.org/color-name/-/color-name-1.1.4.tgz",
+          "integrity": "sha512-dOy+3AuW3a2wNbZHIuMZpTcgjGuLU/uBL/ubcZF9OXbDo8ff4O8yVp5Bf0efS8uEoYo5q4Fx7dY9OgQGXgAsQA==",
+          "dev": true
+        },
+        "is-fullwidth-code-point": {
+          "version": "3.0.0",
+          "resolved": "https://registry.npmjs.org/is-fullwidth-code-point/-/is-fullwidth-code-point-3.0.0.tgz",
+          "integrity": "sha512-zymm5+u+sCsSWyD9qNaejV3DFvhCKclKdizYaJUuHA83RLjb7nSuGnddCHGv0hk+KY7BMAlsWeK4Ueg6EV6XQg==",
+          "dev": true
+        }
+      }
+    },
     "source-list-map": {
       "version": "2.0.1",
       "resolved": "https://registry.npmjs.org/source-list-map/-/source-list-map-2.0.1.tgz",
@@ -26906,6 +27216,25 @@
         "readable-stream": "^2.1.0"
       }
     },
+    "string-width": {
+      "version": "4.2.3",
+      "resolved": "https://registry.npmjs.org/string-width/-/string-width-4.2.3.tgz",
+      "integrity": "sha512-wKyQRQpjJ0sIp62ErSZdGsjMJWsap5oRNihHhu6G7JVO/9jIB6UyevL+tXuOqrng8j/cxKTWyWUwvSTriiZz/g==",
+      "dev": true,
+      "requires": {
+        "emoji-regex": "^8.0.0",
+        "is-fullwidth-code-point": "^3.0.0",
+        "strip-ansi": "^6.0.1"
+      },
+      "dependencies": {
+        "is-fullwidth-code-point": {
+          "version": "3.0.0",
+          "resolved": "https://registry.npmjs.org/is-fullwidth-code-point/-/is-fullwidth-code-point-3.0.0.tgz",
+          "integrity": "sha512-zymm5+u+sCsSWyD9qNaejV3DFvhCKclKdizYaJUuHA83RLjb7nSuGnddCHGv0hk+KY7BMAlsWeK4Ueg6EV6XQg==",
+          "dev": true
+        }
+      }
+    },
     "strip-ansi": {
       "version": "6.0.1",
       "resolved": "https://registry.npmjs.org/strip-ansi/-/strip-ansi-6.0.1.tgz",
@@ -27029,17 +27358,6 @@
       "requires": {
         "ansi-escapes": "^4.2.1",
         "supports-hyperlinks": "^2.0.0"
-      },
-      "dependencies": {
-        "ansi-escapes": {
-          "version": "4.3.2",
-          "resolved": "https://registry.npmjs.org/ansi-escapes/-/ansi-escapes-4.3.2.tgz",
-          "integrity": "sha512-gKXj5ALrKWQLsYG9jlTRmR/xKluxHV+Z9QEwNIgCfM1/uwPMCuzVVnh5mwTd+OuBZcwSIMbqssNWRm1lE51QaQ==",
-          "dev": true,
-          "requires": {
-            "type-fest": "^0.21.3"
-          }
-        }
       }
     },
     "terser": {
@@ -27905,12 +28223,6 @@
           "integrity": "sha512-hFoiJiTl63nn+kstHGBtewWSKnQLpyb155KHheA1l39uvtO9nWIop1p3udqPcUd/xbF1VLMO4n7OI6p7RbngDg==",
           "dev": true
         },
-        "mimic-fn": {
-          "version": "2.1.0",
-          "resolved": "https://registry.npmjs.org/mimic-fn/-/mimic-fn-2.1.0.tgz",
-          "integrity": "sha512-OqbOk5oEQeAZ8WXWydlu9HJjz9WVdEIvamMCcXmuqUYjTknH/sqsWvhQ3vgwKFRR1HpjvNBKQ37nbJgYzGqGcg==",
-          "dev": true
-        },
         "npm-run-path": {
           "version": "4.0.1",
           "resolved": "https://registry.npmjs.org/npm-run-path/-/npm-run-path-4.0.1.tgz",
@@ -27920,15 +28232,6 @@
             "path-key": "^3.0.0"
           }
         },
-        "onetime": {
-          "version": "5.1.2",
-          "resolved": "https://registry.npmjs.org/onetime/-/onetime-5.1.2.tgz",
-          "integrity": "sha512-kbpaSSGJTWdAY5KPVeMOKXSrPtr8C8C7wodJbcsd51jRnmD+GZu8Y0VoU6Dm5Z4vWr0Ig/1NKuWRKf7j5aaYSg==",
-          "dev": true,
-          "requires": {
-            "mimic-fn": "^2.1.0"
-          }
-        },
         "path-key": {
           "version": "3.1.1",
           "resolved": "https://registry.npmjs.org/path-key/-/path-key-3.1.1.tgz",
@@ -28089,29 +28392,6 @@
           "resolved": "https://registry.npmjs.org/color-name/-/color-name-1.1.4.tgz",
           "integrity": "sha512-dOy+3AuW3a2wNbZHIuMZpTcgjGuLU/uBL/ubcZF9OXbDo8ff4O8yVp5Bf0efS8uEoYo5q4Fx7dY9OgQGXgAsQA==",
           "dev": true
-        },
-        "emoji-regex": {
-          "version": "8.0.0",
-          "resolved": "https://registry.npmjs.org/emoji-regex/-/emoji-regex-8.0.0.tgz",
-          "integrity": "sha512-MSjYzcWNOA0ewAHpz0MxpYFvwg6yjy1NG3xteoqz644VCo/RPgnr1/GGt+ic3iJTzQ8Eu3TdM14SawnVUmGE6A==",
-          "dev": true
-        },
-        "is-fullwidth-code-point": {
-          "version": "3.0.0",
-          "resolved": "https://registry.npmjs.org/is-fullwidth-code-point/-/is-fullwidth-code-point-3.0.0.tgz",
-          "integrity": "sha512-zymm5+u+sCsSWyD9qNaejV3DFvhCKclKdizYaJUuHA83RLjb7nSuGnddCHGv0hk+KY7BMAlsWeK4Ueg6EV6XQg==",
-          "dev": true
-        },
-        "string-width": {
-          "version": "4.2.3",
-          "resolved": "https://registry.npmjs.org/string-width/-/string-width-4.2.3.tgz",
-          "integrity": "sha512-wKyQRQpjJ0sIp62ErSZdGsjMJWsap5oRNihHhu6G7JVO/9jIB6UyevL+tXuOqrng8j/cxKTWyWUwvSTriiZz/g==",
-          "dev": true,
-          "requires": {
-            "emoji-regex": "^8.0.0",
-            "is-fullwidth-code-point": "^3.0.0",
-            "strip-ansi": "^6.0.1"
-          }
         }
       }
     },
@@ -28252,29 +28532,6 @@
           "integrity": "sha512-dOy+3AuW3a2wNbZHIuMZpTcgjGuLU/uBL/ubcZF9OXbDo8ff4O8yVp5Bf0efS8uEoYo5q4Fx7dY9OgQGXgAsQA==",
           "dev": true
         },
-        "emoji-regex": {
-          "version": "8.0.0",
-          "resolved": "https://registry.npmjs.org/emoji-regex/-/emoji-regex-8.0.0.tgz",
-          "integrity": "sha512-MSjYzcWNOA0ewAHpz0MxpYFvwg6yjy1NG3xteoqz644VCo/RPgnr1/GGt+ic3iJTzQ8Eu3TdM14SawnVUmGE6A==",
-          "dev": true
-        },
-        "is-fullwidth-code-point": {
-          "version": "3.0.0",
-          "resolved": "https://registry.npmjs.org/is-fullwidth-code-point/-/is-fullwidth-code-point-3.0.0.tgz",
-          "integrity": "sha512-zymm5+u+sCsSWyD9qNaejV3DFvhCKclKdizYaJUuHA83RLjb7nSuGnddCHGv0hk+KY7BMAlsWeK4Ueg6EV6XQg==",
-          "dev": true
-        },
-        "string-width": {
-          "version": "4.2.0",
-          "resolved": "https://registry.npmjs.org/string-width/-/string-width-4.2.0.tgz",
-          "integrity": "sha512-zUz5JD+tgqtuDjMhwIg5uFVV3dtqZ9yQJlZVfq4I01/K5Paj5UHj7VyrQOJvzawSVlKpObApbfD0Ed6yJc+1eg==",
-          "dev": true,
-          "requires": {
-            "emoji-regex": "^8.0.0",
-            "is-fullwidth-code-point": "^3.0.0",
-            "strip-ansi": "^6.0.0"
-          }
-        },
         "wrap-ansi": {
           "version": "6.2.0",
           "resolved": "https://registry.npmjs.org/wrap-ansi/-/wrap-ansi-6.2.0.tgz",
diff --git a/package.json b/package.json
index e6782d4..ae904a9 100644
--- a/package.json
+++ b/package.json
@@ -1,6 +1,6 @@
 {
   "name": "fhirpath",
-  "version": "2.14.3",
+  "version": "2.14.4",
   "description": "A FHIRPath engine",
   "main": "src/fhirpath.js",
   "dependencies": {
@@ -15,6 +15,7 @@
     "@babel/eslint-parser": "^7.17.0",
     "@babel/preset-env": "^7.16.11",
     "babel-loader": "^8.2.3",
+    "benny": "^3.7.1",
     "bestzip": "^2.2.0",
     "copy-webpack-plugin": "^6.0.3",
     "eslint": "^8.10.0",
@@ -28,6 +29,7 @@
     "jest": "^27.3.1",
     "jit-grunt": "^0.10.0",
     "lodash": "^4.17.21",
+    "open": "^8.4.0",
     "rimraf": "^3.0.0",
     "tmp": "0.0.33",
     "webpack": "^5.11.1",
@@ -47,7 +49,8 @@
     "test:build": "cd browser-build && grunt test:e2e",
     "test": "npm run lint && npm run test:unit && npm run update-webdriver && npm run test:demo && npm run test:build && echo \"For tests specific to IE 11, open browser-build/test/protractor/index.html in IE 11, and confirm that the tests on that page pass.\"",
     "lint": "eslint src/parser/index.js src/*.js converter/",
-    "update-webdriver": "node node_modules/protractor/bin/webdriver-manager update"
+    "update-webdriver": "node node_modules/protractor/bin/webdriver-manager update",
+    "compare-performance": "node ./test/benchmark.js"
   },
   "bin": {
     "fhirpath": "bin/fhirpath"
diff --git a/test/benchmark.js b/test/benchmark.js
new file mode 100644
index 0000000..b56a7ab
--- /dev/null
+++ b/test/benchmark.js
@@ -0,0 +1,27 @@
+/**
+ * This file contains code to run the performance test suites.
+ *
+ * To compare performance between the latest published version and the current
+ * version use:
+ *   `npm run compare-performance`
+ *
+ * You can also specify a specific version to compare with the current version,
+ * for example:
+ *   `npm run compare-performance -- 2.14.0`
+ *
+ * The results will be saved in the folder `./benchmark/results`
+ */
+const { spawn } = require('child_process');
+const myArgs = process.argv.slice(2);
+const prevVersion = myArgs.length === 1 ? '@' + myArgs[0] : '@latest';
+
+const child = spawn('npm', ['i','--prefix', './test/benchmark/prev-fhirpath', 'fhirpath' + prevVersion], {
+  stdio: 'inherit'
+});
+
+child.on('exit', code => {
+  if (code === 0) {
+    // Insert performance test suites here:
+    require('./benchmark/intersect');
+  }
+});
diff --git a/test/benchmark/intersect.js b/test/benchmark/intersect.js
new file mode 100644
index 0000000..936b2d4
--- /dev/null
+++ b/test/benchmark/intersect.js
@@ -0,0 +1,88 @@
+const b = require('benny');
+const open = require('open');
+
+const previous_fhirpath = require('./prev-fhirpath/node_modules/fhirpath');
+const previous_r4_model = require('./prev-fhirpath/node_modules/fhirpath/fhir-context/r4');
+const current_fhirpath = require('../../src/fhirpath');
+const current_r4_model = require('../../fhir-context/r4');
+const _ = require('lodash');
+
+const minimumDataset = require('../resources/Minimum-Data-Set---version-3.0.R4.json');
+
+const bigItems = current_fhirpath.evaluate(minimumDataset,'repeat(item)', {},  current_r4_model);
+const bigItemsCopy = _.cloneDeep(bigItems);
+const numberOfBigItems = current_fhirpath.evaluate({}, '%items.count()', { items: bigItems }, current_r4_model)[0];
+
+const smallItems = current_fhirpath.evaluate(minimumDataset,'repeat(item).repeat(code)', {},  current_r4_model);
+const smallItemsCopy = _.cloneDeep(smallItems);
+const numberOfSmallItems = current_fhirpath.evaluate({}, '%items.count()', { items: smallItems }, current_r4_model)[0];
+
+const previousVersion = require('./prev-fhirpath/node_modules/fhirpath/package.json').version;
+const currentVersion = require('../../package.json').version;
+
+const expression = '%items.intersect(%itemsCopy)';
+
+const cases = [
+  {
+    name: `${numberOfBigItems} big items using evaluate()`,
+    testFunction: (fhirpath, model) => {
+      fhirpath.evaluate({}, expression, { items: bigItems, itemsCopy: bigItemsCopy }, model);
+    }
+  },
+  {
+    name: `${numberOfBigItems} big items using compile()`,
+    testFunction: (fhirpath, model, compiledFn) => {
+      compiledFn({}, { items: bigItems, itemsCopy: bigItemsCopy });
+    }
+  },
+  {
+    name: `${numberOfSmallItems} small items using evaluate()`,
+    testFunction: (fhirpath, model) => {
+      fhirpath.evaluate({}, expression, { items: smallItems, itemsCopy: smallItemsCopy }, model);
+    }
+  },
+  {
+    name: `${numberOfSmallItems} small items using compile()`,
+    testFunction: (fhirpath, model, compiledFn) => {
+      compiledFn({}, { items: smallItems, itemsCopy: smallItemsCopy });
+    }
+  }
+].reduce((arr, item) => {
+  arr.push(
+    b.add(
+      `${item.name} [${previousVersion}]`,
+      item.testFunction.bind(
+        this,
+        previous_fhirpath,
+        previous_r4_model,
+        previous_fhirpath.compile(expression, previous_r4_model)
+      )
+    )
+  );
+  arr.push(
+    b.add(
+      `${item.name} [${currentVersion}]`,
+      item.testFunction.bind(
+        this,
+        current_fhirpath,
+        current_r4_model,
+        current_fhirpath.compile(expression, current_r4_model)
+      )
+    )
+  );
+  return arr;
+}, []);
+
+b.suite(
+  'intersect() of two collections with',
+  ...cases,
+  b.cycle(),
+  b.complete(),
+  b.configure({
+    minDisplayPrecision: 2
+  }),
+  b.save({ file: 'intersect', folder: __dirname + '/results', version: currentVersion }),
+  b.save({ file: 'intersect', folder: __dirname + '/results', format: 'chart.html' }),
+).then(() => {
+  open(__dirname + '/results/intersect.chart.html');
+});
diff --git a/test/resources/Minimum-Data-Set---version-3.0.R4.json b/test/resources/Minimum-Data-Set---version-3.0.R4.json
new file mode 100644
index 0000000..dbd2a98
--- /dev/null
+++ b/test/resources/Minimum-Data-Set---version-3.0.R4.json
@@ -0,0 +1,32967 @@
+{
+  "status": "draft",
+  "title": "Minimum Data Set - version 3.0",
+  "resourceType": "Questionnaire",
+  "meta": {
+    "profile": [
+      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|2.7"
+    ],
+    "tag": [
+      {
+        "code": "lformsVersion: 29.2.1"
+      }
+    ]
+  },
+  "item": [
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54501-2",
+          "display": "Identification information",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/54501-2",
+      "text": "Identification information",
+      "item": [
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "58198-3",
+              "display": "Type of record",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/58198-3",
+          "text": "Type of record",
+          "answerOption": [
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
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+              }
+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA12664-1",
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+              }
+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA12665-8",
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+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
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+              "code": "54581-4",
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+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/54581-4",
+          "text": "Facility provider #s",
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+              "type": "string",
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+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54581-4/76468-8",
+              "text": "National Provider Identifier (NPI)"
+            },
+            {
+              "type": "string",
+              "code": [
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+                  "code": "69417-4",
+                  "display": "CMS Certification Number (CCN)",
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+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54581-4/69417-4",
+              "text": "CMS Certification Number (CCN)"
+            },
+            {
+              "type": "string",
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+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54581-4/45398-5",
+              "text": "State provider # Facility"
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+          ]
+        },
+        {
+          "type": "choice",
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+              "code": "54582-2",
+              "display": "Type of Provider",
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+          ],
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "display": "Drop down"
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+                "text": "Drop down"
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+          "required": false,
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+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+          ]
+        },
+        {
+          "type": "group",
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+              "code": "54502-0",
+              "display": "Type of Assessment",
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+          ],
+          "required": false,
+          "linkId": "/54501-2/54502-0",
+          "text": "Type of Assessment",
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+              "type": "choice",
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+                  "code": "54583-0",
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+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54502-0/54583-0",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "02"
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "03"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "04"
+                    }
+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "05"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "06"
+                    }
+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54584-8",
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+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    "text": "Drop down"
+                  }
+                }
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "01"
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "02"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "04"
+                    }
+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    }
+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "06"
+                    }
+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
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+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
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+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+                }
+              ],
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+              "linkId": "/54501-2/54502-0/54585-5",
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+              "answerOption": [
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA12624-5",
+                    "display": "Start of therapy assessment"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
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+                  "valueCoding": {
+                    "code": "LA12626-0",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
+                    "code": "LA18612-4",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "58107-4",
+                  "display": "Is this a Swing Bed clinical change assessment?",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54502-0/58107-4",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            },
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              "type": "choice",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
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+                  ],
+                  "valueCoding": {
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "71440-2",
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+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+          "extension": [
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                "text": "Drop down"
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
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+              "valueCoding": {
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+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
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+              "valueCoding": {
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+        },
+        {
+          "type": "group",
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+              "code": "54503-8",
+              "display": "Legal name of resident",
+              "system": "http://loinc.org"
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+          ],
+          "required": false,
+          "linkId": "/54501-2/54503-8",
+          "text": "Legal name of resident",
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+              "type": "string",
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+              "required": false,
+              "linkId": "/54501-2/54503-8/45392-8",
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+              "type": "string",
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+                  "code": "45393-6",
+                  "display": "Middle initial",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54503-8/45393-6",
+              "text": "Middle initial"
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45394-4",
+                  "display": "Patient Last name",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54503-8/45394-4",
+              "text": "Patient Last name"
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45395-1",
+                  "display": "Suffix",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54503-8/45395-1",
+              "text": "Suffix"
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "45966-9",
+              "display": "Social Security & Medicare numbers",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/45966-9",
+          "text": "Social Security & Medicare numbers",
+          "item": [
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45396-9",
+                  "display": "Social Security #",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/45966-9/45396-9",
+              "text": "Social Security #"
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45397-7",
+                  "display": "Medicare number (or comparable railroad insurance number)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/45966-9/45397-7",
+              "text": "Medicare number (or comparable railroad insurance number)"
+            }
+          ]
+        },
+        {
+          "type": "string",
+          "code": [
+            {
+              "code": "45400-9",
+              "display": "Medicaid #",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/45400-9",
+          "text": "Medicaid #"
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "46098-0",
+              "display": "Gender",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/46098-0",
+          "text": "Gender",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA2-8",
+                "display": "Male"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA3-6",
+                "display": "Female"
+              }
+            }
+          ]
+        },
+        {
+          "type": "decimal",
+          "code": [
+            {
+              "code": "21112-8",
+              "display": "Birth date",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+              "valueCoding": {
+                "display": "{mm/dd/yyyy}"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/21112-8",
+          "text": "Birth date"
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "59362-4",
+              "display": "Race/Ethnicity",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/59362-4",
+          "text": "Race/Ethnicity",
+          "answerOption": [
+            {
+              "valueCoding": {
+                "code": "LA6155-1",
+                "display": "American Indian or Alaska Native"
+              }
+            },
+            {
+              "valueCoding": {
+                "code": "LA6156-9",
+                "display": "Asian"
+              }
+            },
+            {
+              "valueCoding": {
+                "code": "LA10610-6",
+                "display": "Black or African American"
+              }
+            },
+            {
+              "valueCoding": {
+                "code": "LA6214-6",
+                "display": "Hispanic or Latino"
+              }
+            },
+            {
+              "valueCoding": {
+                "code": "LA10611-4",
+                "display": "Native Hawaiian or Other Pacific Islander"
+              }
+            },
+            {
+              "valueCoding": {
+                "code": "LA4457-3",
+                "display": "White"
+              }
+            }
+          ],
+          "item": [
+            {
+              "text": "This term is used for reporting the combined race and ethnicity based on the Office of Management and Budget (OMB), Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity (Oct. 30, 1997).  It is used in many surveys and data collections, including the CMS Minimum Data Set version 3 and other CMS assessments.",
+              "type": "display",
+              "linkId": "/54501-2/59362-4-help",
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
+                      {
+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
+                      }
+                    ]
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54505-3",
+              "display": "Language",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/54505-3",
+          "text": "Language",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54588-9",
+                  "display": "Does the resident need or want an interpreter to communicate with a doctor or health care staff?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54505-3/54588-9",
+              "text": "Does the resident need or want an interpreter to communicate with a doctor or health care staff?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11137-9",
+                    "display": "Unable to determine"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "Patient/resident's need or want an interpreter to communicate with a doctor or health care staff",
+                  "type": "display",
+                  "linkId": "/54501-2/54505-3/54588-9-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54899-0",
+                  "display": "Preferred Language",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54505-3/54899-0",
+              "text": "Preferred Language",
+              "answerOption": [
+                {
+                  "valueCoding": {
+                    "code": "LA43-5",
+                    "display": "English"
+                  }
+                },
+                {
+                  "valueCoding": {
+                    "code": "LA44-3",
+                    "display": "Spanish"
+                  }
+                },
+                {
+                  "valueCoding": {
+                    "code": "LA4168-6",
+                    "display": "Chinese"
+                  }
+                },
+                {
+                  "valueCoding": {
+                    "code": "LA4443-3",
+                    "display": "Vietnamese"
+                  }
+                },
+                {
+                  "valueCoding": {
+                    "code": "LA15353-8",
+                    "display": "Tagalog"
+                  }
+                },
+                {
+                  "valueCoding": {
+                    "code": "LA46-8",
+                    "display": "Other"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "45404-1",
+              "display": "Marital status",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/45404-1",
+          "text": "Marital status",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA47-6",
+                "display": "Never married"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA48-4",
+                "display": "Married"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA49-2",
+                "display": "Widowed"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "4"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA4288-2",
+                "display": "Separated"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "5"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA51-8",
+                "display": "Divorced"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54506-1",
+              "display": "Optional resident items",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/54506-1",
+          "text": "Optional resident items",
+          "item": [
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "46106-1",
+                  "display": "Medical record number",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54506-1/46106-1",
+              "text": "Medical record number"
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45403-3",
+                  "display": "Room #",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54506-1/45403-3",
+              "text": "Room #"
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "52462-9",
+                  "display": "Name by which resident prefers to be addressed",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54506-1/52462-9",
+              "text": "Name by which resident prefers to be addressed"
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "21843-8",
+                  "display": "Hx of Usual occupation",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/54506-1/21843-8",
+              "text": "Hx of Usual occupation",
+              "item": [
+                {
+                  "text": "The occupation a person has held for the longest time during his or her life, regardless of the occupation currently held.",
+                  "type": "display",
+                  "linkId": "/54501-2/54506-1/21843-8-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54589-7",
+              "display": "Preadmission Screening and Resident Review (PASRR).  Has the resident been evaluated by Level II PASRR and determined to have a serious mental illness and/or mental retardation or a related condition?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/54589-7",
+          "text": "Preadmission Screening and Resident Review (PASRR).  Has the resident been evaluated by Level II PASRR and determined to have a serious mental illness and/or mental retardation or a related condition?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "9"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10921-7",
+                "display": "Not a Medicaid-certified unit"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "71441-0",
+              "display": "Level II Preadmission Screening and Resident Review (PASRR)",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/71441-0",
+          "text": "Level II Preadmission Screening and Resident Review (PASRR)",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "A"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA18599-3",
+                "display": "Serious mental illness"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "B"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA18600-9",
+                "display": "Intellectual disability (\"mental retardation\" in federal regulation)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "C"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA18601-7",
+                "display": "Other related conditions"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "71454-3",
+              "display": "Conditions related to ID/DD",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54501-2/71454-3",
+          "text": "Conditions related to ID/DD",
+          "item": [
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "71452-7",
+                  "display": "ID/DD with organic condition",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54501-2/71454-3/71452-7",
+              "text": "ID/DD with organic condition",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "45422-3",
+                      "display": "Down's syndrome",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54501-2/71454-3/71452-7/45422-3",
+                  "text": "Down's syndrome",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
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+                    }
+                  ]
+                },
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+                  "type": "choice",
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+                      "code": "45423-1",
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
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+                    },
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+                      ],
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+                  ]
+                },
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+                  "type": "choice",
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+                        "coding": [
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
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+                    }
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+                  "required": false,
+                  "linkId": "/54501-2/71454-3/71452-7/45424-9",
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      ],
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+                  ]
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+                  "type": "choice",
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+                      "code": "71455-0",
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+                  ],
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+                        "coding": [
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      ],
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+                  ]
+                },
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+                        "coding": [
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+                }
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+            }
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+          ],
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+          "type": "choice",
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+          ],
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            },
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
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+              "valueCoding": {
+                "code": "LA54-2",
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+            }
+          ]
+        },
+        {
+          "type": "choice",
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+              "code": "54591-3",
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "display": "Drop down"
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+                ],
+                "text": "Drop down"
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+            }
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+          "required": false,
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            },
+            {
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "02"
+                }
+              ],
+              "valueCoding": {
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "03"
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+              ],
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "04"
+                }
+              ],
+              "valueCoding": {
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "05"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10928-2",
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "06"
+                }
+              ],
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "07"
+                }
+              ],
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "09"
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+              "valueCoding": {
+                "code": "LA10000-0",
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "99"
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+            }
+          ]
+        },
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+          "type": "decimal",
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+          "type": "choice",
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+          ],
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+            },
+            {
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+            },
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+            },
+            {
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            },
+            {
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "08"
+                }
+              ],
+              "valueCoding": {
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "09"
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+              ],
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+            },
+            {
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "99"
+                }
+              ],
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+            }
+          ]
+        },
+        {
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+          ],
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+        {
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+              "code": "54593-9",
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+          ],
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+            }
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+          "required": false,
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+              "text": "The end-point of the assessment period for the CMS assessment instrument.",
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+              "linkId": "/54501-2/54593-9-help",
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
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+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
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+            }
+          ]
+        },
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+            }
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+          "required": false,
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+              "type": "choice",
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+                  "code": "54594-7",
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+                }
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "required": false,
+              "linkId": "/54501-2/54507-9/54594-7",
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+                }
+              ]
+            },
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+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                }
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+              "text": "Start date of most recent Medicare stay"
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+            {
+              "type": "decimal",
+              "code": [
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+                  "code": "54596-2",
+                  "display": "End date of most recent Medicare stay",
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+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                }
+              ],
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+              "linkId": "/54501-2/54507-9/54596-2",
+              "text": "End date of most recent Medicare stay"
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+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
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+          "code": "54508-7",
+          "display": "Hearing, speech, and vision",
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+        }
+      ],
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+      "linkId": "/54508-7",
+      "text": "Hearing, speech, and vision",
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+          "type": "choice",
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+              "code": "54597-0",
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+          "extension": [
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "display": "Drop down"
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+                "text": "Drop down"
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+            }
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+          "required": false,
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+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54598-8",
+              "display": "Hearing",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54598-8",
+          "text": "Hearing",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10941-5",
+                "display": "Adequate - no difficulty in normal conversation, social interaction, listening to TV"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10942-3",
+                "display": "Minimal difficulty - difficulty in some environments (e.g. when person speaks softly or setting is noisy)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10943-1",
+                "display": "Moderate difficulty - speaker has to increase volume and speak distinctly"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10944-9",
+                "display": "Highly impaired - absence of useful hearing"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54599-6",
+              "display": "Hearing Aid",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54599-6",
+          "text": "Hearing Aid",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54600-2",
+              "display": "Speech Clarity",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54600-2",
+          "text": "Speech Clarity",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10945-6",
+                "display": "Clear speech - distinct intelligible words"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10946-4",
+                "display": "Unclear speech - slurred or mumbled words"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10947-2",
+                "display": "No speech - absence of spoken words"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54601-0",
+              "display": "Makes Self Understood",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54601-0",
+          "text": "Makes Self Understood",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA71-6",
+                "display": "Understood"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10949-8",
+                "display": "Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10950-6",
+                "display": "Sometimes understood - ability is limited to making concrete requests"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA74-0",
+                "display": "Rarely/never understood"
+              }
+            }
+          ],
+          "item": [
+            {
+              "text": "Includes verbal and non-verbal expression",
+              "type": "display",
+              "linkId": "/54508-7/54601-0-help",
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
+                      {
+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
+                      }
+                    ]
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54602-8",
+              "display": "Ability to understand others",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54602-8",
+          "text": "Ability to understand others",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10952-2",
+                "display": "Understands - clear comprehension"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10953-0",
+                "display": "Usually understands - misses some part/intent of message but comprehends most conversation"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10954-8",
+                "display": "Sometimes understands - responds adequately to simple, direct communication only"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA81-5",
+                "display": "Rarely/never understands"
+              }
+            }
+          ],
+          "item": [
+            {
+              "text": "Patient's ability to understand verbal content, with hearing aid or device if used",
+              "type": "display",
+              "linkId": "/54508-7/54602-8-help",
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
+                      {
+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
+                      }
+                    ]
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54603-6",
+              "display": "Vision",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54603-6",
+          "text": "Vision",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10956-3",
+                "display": "Adequate - sees fine detail, such as regular print in newspapers/books"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10957-1",
+                "display": "Impaired - sees large print, but not regular print in newspapers/books"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10958-9",
+                "display": "Moderately impaired - limited vision; not able to see newspaper headlines but can identify objects"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10959-7",
+                "display": "Highly impaired - object identification in question, but eyes appear to follow objects"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "4"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10960-5",
+                "display": "Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects"
+              }
+            }
+          ],
+          "item": [
+            {
+              "text": "Patient's ability to see in adequate light with glasses or other visual appliances",
+              "type": "display",
+              "linkId": "/54508-7/54603-6-help",
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
+                      {
+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
+                      }
+                    ]
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54604-4",
+              "display": "Corrective Lenses",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54508-7/54604-4",
+          "text": "Corrective Lenses",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ],
+          "item": [
+            {
+              "text": "Corrective lenses include contacts, glasses, or a magnifying glass.",
+              "type": "display",
+              "linkId": "/54508-7/54604-4-help",
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
+                      {
+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
+                      }
+                    ]
+                  }
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54509-5",
+          "display": "Cognitive patterns",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/54509-5",
+      "text": "Cognitive patterns",
+      "item": [
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54605-1",
+              "display": "Brief interview for mental status should be conducted",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54509-5/54605-1",
+          "text": "Brief interview for mental status should be conducted",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11150-2",
+                "display": "No (resident is rarely/never understood)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "52491-8",
+              "display": "Brief interview for mental status",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54509-5/52491-8",
+          "text": "Brief interview for mental status",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "52731-7",
+                  "display": "Repetition of three words",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/52491-8/52731-7",
+              "text": "Repetition of three words",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA137-2",
+                    "display": "None"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA6306-0",
+                    "display": "One"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA6404-3",
+                    "display": "Two"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA6395-3",
+                    "display": "Three"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54510-3",
+                  "display": "Temporal orientation (orientation to year, month, and day)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/52491-8/54510-3",
+              "text": "Temporal orientation (orientation to year, month, and day)",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "52732-5",
+                      "display": "Temporal orientation - current year",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/52491-8/54510-3/52732-5",
+                  "text": "Temporal orientation - current year",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10965-4",
+                        "display": "Missed by > 5 years or no answer"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10966-2",
+                        "display": "Missed by 2-5 years"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10008-3",
+                        "display": "Missed by 1 year"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA9960-1",
+                        "display": "Correct"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "52733-3",
+                      "display": "Temporal orientation - current month",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/52491-8/54510-3/52733-3",
+                  "text": "Temporal orientation - current month",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10969-6",
+                        "display": "Missed by > 1 month or no answer"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10010-9",
+                        "display": "Missed by 6 days to 1 month"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA9927-0",
+                        "display": "Accurate within 5 days"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54609-3",
+                      "display": "Temporal orientation - current day of the week",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/52491-8/54510-3/54609-3",
+                  "text": "Temporal orientation - current day of the week",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA9981-7",
+                        "display": "Incorrect or no answer"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA9960-1",
+                        "display": "Correct"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "52493-4",
+                  "display": "Recall",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/52491-8/52493-4",
+              "text": "Recall",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "52735-8",
+                      "display": "Able to recall \"sock\"",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/52491-8/52493-4/52735-8",
+                  "text": "Able to recall \"sock\"",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10974-6",
+                        "display": "No - could not recall"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10126-3",
+                        "display": "Yes, after cueing (\"something to wear\")"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10134-7",
+                        "display": "Yes, no cue required"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "52736-6",
+                      "display": "Able to recall \"blue\"",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/52491-8/52493-4/52736-6",
+                  "text": "Able to recall \"blue\"",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10974-6",
+                        "display": "No - could not recall"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10978-7",
+                        "display": "Yes, after cueing (\"a color\")"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10134-7",
+                        "display": "Yes, no cue required"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "52737-4",
+                      "display": "Able to recall \"bed\"",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/52491-8/52493-4/52737-4",
+                  "text": "Able to recall \"bed\"",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10974-6",
+                        "display": "No - could not recall"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10125-5",
+                        "display": "Yes, after cueing (\"a piece of furniture\")"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10134-7",
+                        "display": "Yes, no cue required"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "54614-3",
+                  "display": "Summary Score",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{score}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/52491-8/54614-3",
+              "text": "Summary Score"
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54615-0",
+              "display": "Should the Staff Assessment for Mental Status C0700-C1000 be conducted?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54509-5/54615-0",
+          "text": "Should the Staff Assessment for Mental Status C0700-C1000 be conducted?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11145-2",
+                "display": "No (resident was able to  complete interview)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11146-0",
+                "display": "Yes (resident was unable to complete interview)"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54895-8",
+              "display": "Staff assessment for mental status",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54509-5/54895-8",
+          "text": "Staff assessment for mental status",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54616-8",
+                  "display": "Short-term Memory OK",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/54895-8/54616-8",
+              "text": "Short-term Memory OK",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA55-9",
+                    "display": "Memory OK"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA56-7",
+                    "display": "Memory problem"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54617-6",
+                  "display": "Long-term memory OK",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/54895-8/54617-6",
+              "text": "Long-term memory OK",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA55-9",
+                    "display": "Memory OK"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA56-7",
+                    "display": "Memory problem"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54618-4",
+                  "display": "Memory/Recall Ability",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/54895-8/54618-4",
+              "text": "Memory/Recall Ability",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54619-2",
+                      "display": "Current season",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54895-8/54618-4/54619-2",
+                  "text": "Current season",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54620-0",
+                      "display": "Location of own room",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54895-8/54618-4/54620-0",
+                  "text": "Location of own room",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54621-8",
+                      "display": "Staff names and faces",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54895-8/54618-4/54621-8",
+                  "text": "Staff names and faces",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54622-6",
+                      "display": "That he or she is in a nursing home",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54895-8/54618-4/54622-6",
+                  "text": "That he or she is in a nursing home",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54623-4",
+                      "display": "None of the above were recalled",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54895-8/54618-4/54623-4",
+                  "text": "None of the above were recalled",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54624-2",
+                  "display": "Cognitive skills for daily decision making",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/54895-8/54624-2",
+              "text": "Cognitive skills for daily decision making",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10985-2",
+                    "display": "Independent - decisions consistent/reasonable"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10986-0",
+                    "display": "Modified independence - some difficulty in new situations only"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10987-8",
+                    "display": "Moderately impaired - decisions poor; cues/supervision required"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10988-6",
+                    "display": "Severely impaired - never/rarely made decisions"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54626-7",
+              "display": "Delirium",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54509-5/54626-7",
+          "text": "Delirium",
+          "item": [
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54627-5",
+                  "display": "Signs and symptoms of delirium (from CAM)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/54626-7/54627-5",
+              "text": "Signs and symptoms of delirium (from CAM)",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54628-3",
+                      "display": "Inattention.  Did the resident have difficulty focusing attention (easily distracted, out of touch or difficulty following what was said)?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54626-7/54627-5/54628-3",
+                  "text": "Inattention.  Did the resident have difficulty focusing attention (easily distracted, out of touch or difficulty following what was said)?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA61-7",
+                        "display": "Behavior not present"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10992-8",
+                        "display": "Behavior continuously present, does not fluctuate"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10993-6",
+                        "display": "Behavior present, fluctuates (comes and goes, changes in severity)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54629-1",
+                      "display": "Disorganized thinking.  Was the resident's thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54626-7/54627-5/54629-1",
+                  "text": "Disorganized thinking.  Was the resident's thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA61-7",
+                        "display": "Behavior not present"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10992-8",
+                        "display": "Behavior continuously present, does not fluctuate"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10993-6",
+                        "display": "Behavior present, fluctuates (comes and goes, changes in severity)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54630-9",
+                      "display": "Altered level of consciousness.  Did the resident have altered level of consciousness?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54626-7/54627-5/54630-9",
+                  "text": "Altered level of consciousness.  Did the resident have altered level of consciousness?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA61-7",
+                        "display": "Behavior not present"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10992-8",
+                        "display": "Behavior continuously present, does not fluctuate"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10993-6",
+                        "display": "Behavior present, fluctuates (comes and goes, changes in severity)"
+                      }
+                    }
+                  ],
+                  "item": [
+                    {
+                      "text": "This term is the CMS Assessment adaption of question 4 on the Confusion Assessment Method (CAM): \"[Altered level of consciousness] Overall, how would you rate this patient's level of consciousness? (Alert [normal]; Vigilant [hyperalert, overly sensitive to environmental stimuli, startled very easily], Lethargic [drowsy, easily aroused]; Stupor [difficult to arouse]; Coma; [unarousable]; Uncertain)\"",
+                      "type": "display",
+                      "linkId": "/54509-5/54626-7/54627-5/54630-9-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54631-7",
+                      "display": "Psychomotor retardation.  Did the resident have an unusually decreased level of ctivity such as sluggishness, staring into space, staying in one position, moving very slowly?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54509-5/54626-7/54627-5/54631-7",
+                  "text": "Psychomotor retardation.  Did the resident have an unusually decreased level of ctivity such as sluggishness, staring into space, staying in one position, moving very slowly?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA61-7",
+                        "display": "Behavior not present"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10992-8",
+                        "display": "Behavior continuously present, does not fluctuate"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10993-6",
+                        "display": "Behavior present, fluctuates (comes and goes, changes in severity)"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54632-5",
+                  "display": "Acute Onset Mental Status Change - Is there evidence of an acute change in mental status from the resident's baseline?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54509-5/54626-7/54632-5",
+              "text": "Acute Onset Mental Status Change - Is there evidence of an acute change in mental status from the resident's baseline?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54633-3",
+          "display": "Mood",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/54633-3",
+      "text": "Mood",
+      "item": [
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54634-1",
+              "display": "Should resident mood interview be conducted",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54633-3/54634-1",
+          "text": "Should resident mood interview be conducted",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11150-2",
+                "display": "No (resident is rarely/never understood)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54635-8",
+              "display": "Resident mood interview (PHQ-9)",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54633-3/54635-8",
+          "text": "Resident mood interview (PHQ-9)",
+          "item": [
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "86843-0",
+                  "display": "Symptom Presence",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54633-3/54635-8/86843-0",
+              "text": "Symptom Presence",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54636-6",
+                      "display": "Little interest or pleasure in doing things in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54636-6",
+                  "text": "Little interest or pleasure in doing things in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54638-2",
+                      "display": "Feeling down, depressed or hopeless in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54638-2",
+                  "text": "Feeling down, depressed or hopeless in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54640-8",
+                      "display": "Trouble falling or staying asleep, or sleeping too much in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54640-8",
+                  "text": "Trouble falling or staying asleep, or sleeping too much in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54642-4",
+                      "display": "Feeling tired or having little energy in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54642-4",
+                  "text": "Feeling tired or having little energy in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54644-0",
+                      "display": "Poor appetite or overeating in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54644-0",
+                  "text": "Poor appetite or overeating in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54646-5",
+                      "display": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54646-5",
+                  "text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54648-1",
+                      "display": "Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54648-1",
+                  "text": "Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54650-7",
+                      "display": "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54650-7",
+                  "text": "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54652-3",
+                      "display": "Thoughts that you would be better off dead, or of hurting yourself in some way",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86843-0/54652-3",
+                  "text": "Thoughts that you would be better off dead, or of hurting yourself in some way",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10996-9",
+                        "display": "No response"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "86844-8",
+                  "display": "Symptom Frequency",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54633-3/54635-8/86844-8",
+              "text": "Symptom Frequency",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54637-4",
+                      "display": "Little interest or pleasure in doing things in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54637-4",
+                  "text": "Little interest or pleasure in doing things in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54639-0",
+                      "display": "Feeling down, depressed or hopeless in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54639-0",
+                  "text": "Feeling down, depressed or hopeless in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54641-6",
+                      "display": "Trouble falling or staying asleep, or sleeping too much in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54641-6",
+                  "text": "Trouble falling or staying asleep, or sleeping too much in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54643-2",
+                      "display": "Feeling tired or having little energy in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54643-2",
+                  "text": "Feeling tired or having little energy in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54645-7",
+                      "display": "Poor appetite or overeating in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54645-7",
+                  "text": "Poor appetite or overeating in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54647-3",
+                      "display": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54647-3",
+                  "text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54649-9",
+                      "display": "Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54649-9",
+                  "text": "Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54651-5",
+                      "display": "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54651-5",
+                  "text": "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54653-1",
+                      "display": "Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54635-8/86844-8/54653-1",
+                  "text": "Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "decimal",
+          "code": [
+            {
+              "code": "54654-9",
+              "display": "Total Severity Score",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+              "valueCoding": {
+                "display": "{score}"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54633-3/54654-9",
+          "text": "Total Severity Score"
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54655-6",
+              "display": "Safety Notification. Was a responsible staff or provider informed that there is a potential for resident self harm?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54633-3/54655-6",
+          "text": "Safety Notification. Was a responsible staff or provider informed that there is a potential for resident self harm?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54657-2",
+              "display": "Staff assessment of resident mood (PHQ-9-OV)",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54633-3/54657-2",
+          "text": "Staff assessment of resident mood (PHQ-9-OV)",
+          "item": [
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "86833-1",
+                  "display": "Staff assessment of resident mood (PHQ-9-OV) - symptom presence in the last 2W",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54633-3/54657-2/86833-1",
+              "text": "Staff assessment of resident mood (PHQ-9-OV) - symptom presence in the last 2W",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54658-0",
+                      "display": "Little interest or pleasure in doing things",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54658-0",
+                  "text": "Little interest or pleasure in doing things",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54660-6",
+                      "display": "Feeling or appearing down, depressed, or hopeless.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54660-6",
+                  "text": "Feeling or appearing down, depressed, or hopeless.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54662-2",
+                      "display": "Trouble falling or staying asleep, or sleeping too much.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54662-2",
+                  "text": "Trouble falling or staying asleep, or sleeping too much.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54664-8",
+                      "display": "Feeling tired or having little energy.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54664-8",
+                  "text": "Feeling tired or having little energy.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54666-3",
+                      "display": "Poor appetite or overeating.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54666-3",
+                  "text": "Poor appetite or overeating.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54668-9",
+                      "display": "Indicating that s/he feels bad about self, is a failure, or has let self or family down.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54668-9",
+                  "text": "Indicating that s/he feels bad about self, is a failure, or has let self or family down.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54670-5",
+                      "display": "Trouble concentrating on things, such as reading the newspaper or watching television.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54670-5",
+                  "text": "Trouble concentrating on things, such as reading the newspaper or watching television.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54672-1",
+                      "display": "Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual.presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54672-1",
+                  "text": "Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual.presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54673-9",
+                      "display": "States that life isn't worth living, wishes for death, or attempts to harm self.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54673-9",
+                  "text": "States that life isn't worth living, wishes for death, or attempts to harm self.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54675-4",
+                      "display": "Being short-tempered, easily annoyed.Presence",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86833-1/54675-4",
+                  "text": "Being short-tempered, easily annoyed.Presence",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "86891-9",
+                  "display": "Staff assessment of resident mood (PHQ-9-OV) - symptom frequency in the last 2W",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54633-3/54657-2/86891-9",
+              "text": "Staff assessment of resident mood (PHQ-9-OV) - symptom frequency in the last 2W",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54659-8",
+                      "display": "Little interest or pleasure in doing things.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54659-8",
+                  "text": "Little interest or pleasure in doing things.Frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54661-4",
+                      "display": "Feeling or appearing down, depressed, or hopeless.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54661-4",
+                  "text": "Feeling or appearing down, depressed, or hopeless.Frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54663-0",
+                      "display": "Trouble falling or staying asleep, or sleeping too much.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54663-0",
+                  "text": "Trouble falling or staying asleep, or sleeping too much.Frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54665-5",
+                      "display": "Feeling tired or having little energy.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54665-5",
+                  "text": "Feeling tired or having little energy.Frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54667-1",
+                      "display": "Poor appetite or overeating.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54667-1",
+                  "text": "Poor appetite or overeating.Frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54669-7",
+                      "display": "Indicating that s/he feels bad about self, is a failure, or has let self or family down.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54669-7",
+                  "text": "Indicating that s/he feels bad about self, is a failure, or has let self or family down.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54671-3",
+                      "display": "Trouble concentrating on things, such as reading the newspaper or watching television.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54671-3",
+                  "text": "Trouble concentrating on things, such as reading the newspaper or watching television.Frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54904-8",
+                      "display": "Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual.frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54904-8",
+                  "text": "Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual.frequency",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10997-7",
+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10998-5",
+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54674-7",
+                      "display": "States that life isn't worth living, wishes for death, or attempts to harm self.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54633-3/54657-2/86891-9/54674-7",
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+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                        }
+                      ],
+                      "valueCoding": {
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+                      }
+                    },
+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
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+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA10999-3",
+                        "display": "7-11 days (half or more of the days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11000-9",
+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
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+                      "code": "54676-2",
+                      "display": "Being short-tempered, easily annoyed.Frequency",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
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+                  "linkId": "/54633-3/54657-2/86891-9/54676-2",
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+                  "answerOption": [
+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
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+                        "display": "Never or 1 day"
+                      }
+                    },
+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
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+                        "display": "2-6 days (several days)"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
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+                      }
+                    },
+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
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+                        "display": "12-14 days (nearly every day)"
+                      }
+                    }
+                  ]
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "decimal",
+          "code": [
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+              "code": "54677-0",
+              "display": "Total Severity Score",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+              "valueCoding": {
+                "display": "{score}"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54633-3/54677-0",
+          "text": "Total Severity Score"
+        },
+        {
+          "type": "choice",
+          "code": [
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+              "code": "54655-6",
+              "display": "Safety Notification. Was a responsible staff or provider informed that there is a potential for resident self harm?",
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+            }
+          ],
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+              }
+            }
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+              ],
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+                "display": "No"
+              }
+            },
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+              "extension": [
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+                "display": "Yes"
+              }
+            }
+          ]
+        }
+      ]
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+          "code": "54511-1",
+          "display": "Behavior",
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+      ],
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+              "system": "http://loinc.org"
+            }
+          ],
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+              "type": "choice",
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+                  "code": "54678-8",
+                  "display": "Hallucinations",
+                  "system": "http://loinc.org"
+                }
+              ],
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
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+                }
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+                }
+              ],
+              "extension": [
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+                        "code": "drop-down",
+                        "display": "Drop down"
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+                  }
+                }
+              ],
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+              ],
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+                }
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+              "linkId": "/54511-1/54512-9/54681-2",
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+              "answerOption": [
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+                    "display": "No"
+                  }
+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
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+                    "display": "Yes"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
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+              "code": "54513-7",
+              "display": "Behavioral symptoms",
+              "system": "http://loinc.org"
+            }
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+          "required": false,
+          "linkId": "/54511-1/54513-7",
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+              "required": false,
+              "linkId": "/54511-1/54513-7/54514-5",
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+              "item": [
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+                  "type": "choice",
+                  "code": [
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+                      "code": "54682-0",
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+                      "system": "http://loinc.org"
+                    }
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                            "display": "Drop down"
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    }
+                  ]
+                },
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                            "display": "Drop down"
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+                      "extension": [
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      ],
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+                      }
+                    }
+                  ]
+                },
+                {
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+                      "system": "http://loinc.org"
+                    }
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+                  "extension": [
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+                        "coding": [
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
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+                    }
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+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54514-5/54684-6",
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+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "extension": [
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+                    }
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+                }
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+            },
+            {
+              "type": "group",
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+                  "system": "http://loinc.org"
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+                            "display": "Drop down"
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+                  ]
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+                            "display": "Drop down"
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+                  "linkId": "/54511-1/54513-7/54515-2/54687-9",
+                  "text": "Significantly interfere with the resident's care?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54688-7",
+                      "display": "Significantly interfere with the resident's participation in activities or social interactions?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54515-2/54688-7",
+                  "text": "Significantly interfere with the resident's participation in activities or social interactions?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54516-0",
+                  "display": "Impact on others",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54511-1/54513-7/54516-0",
+              "text": "Impact on others",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54689-5",
+                      "display": "Put others at significant risk for physical injury?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54516-0/54689-5",
+                  "text": "Put others at significant risk for physical injury?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54690-3",
+                      "display": "Significantly intrude on the privacy or activity of others?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54516-0/54690-3",
+                  "text": "Significantly intrude on the privacy or activity of others?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54691-1",
+                      "display": "Significantly disrupt care or living environment?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54516-0/54691-1",
+                  "text": "Significantly disrupt care or living environment?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54692-9",
+                  "display": "Rejection of Care - Presence & Frequency. Did the resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident's goals for health and well-being?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54511-1/54513-7/54692-9",
+              "text": "Rejection of Care - Presence & Frequency. Did the resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident's goals for health and well-being?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11005-8",
+                    "display": "Behavior not exhibited"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11006-6",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA94-8",
+                    "display": "Behavior of this type occurred 4 to 6 days, but less than daily"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA95-5",
+                    "display": "Behavior of this type occurred daily"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54693-7",
+                  "display": "Wandering - Presence & Frequency. Has the resident wandered?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54511-1/54513-7/54693-7",
+              "text": "Wandering - Presence & Frequency. Has the resident wandered?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11005-8",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11006-6",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA94-8",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA95-5",
+                    "display": "Behavior of this type occurred daily"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54517-8",
+                  "display": "Wandering - impact",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54511-1/54513-7/54517-8",
+              "text": "Wandering - impact",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54694-5",
+                      "display": "Does the wandering place the resident at significant risk of getting to a potentially dangerous place (e.g., stairs, outside of the facility)?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54517-8/54694-5",
+                  "text": "Does the wandering place the resident at significant risk of getting to a potentially dangerous place (e.g., stairs, outside of the facility)?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54695-2",
+                      "display": "Does wandering significantly intrude on the privacy or activities of others?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54511-1/54513-7/54517-8/54695-2",
+                  "text": "Does wandering significantly intrude on the privacy or activities of others?",
+                  "answerOption": [
+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
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+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54696-0",
+                  "display": "Change in behavioral or other symptoms - How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or PPS)?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54511-1/54513-7/54696-0",
+              "text": "Change in behavioral or other symptoms - How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or PPS)?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11009-0",
+                    "display": "Same"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA65-8",
+                    "display": "Improved"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11011-6",
+                    "display": "Worse"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11012-4",
+                    "display": "N/A because no prior MDS assessment"
+                  }
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54518-6",
+          "display": "Preferences for customary routine and activities",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/54518-6",
+      "text": "Preferences for customary routine and activities",
+      "item": [
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54697-8",
+              "display": "Should Interview for Daily and Activity Preferences be Conducted?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
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+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54518-6/54697-8",
+          "text": "Should Interview for Daily and Activity Preferences be Conducted?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA16158-0",
+                "display": "No (resident is rarely/never understood and family/significant other not available)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54519-4",
+              "display": "Interview for daily preferences",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54518-6/54519-4",
+          "text": "Interview for daily preferences",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54698-6",
+                  "display": "How important is it to you to choose what clothes to wear?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54698-6",
+              "text": "How important is it to you to choose what clothes to wear?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54699-4",
+                  "display": "How important is it to you to take care of your personal belongings or things?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54699-4",
+              "text": "How important is it to you to take care of your personal belongings or things?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54700-0",
+                  "display": "How important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?",
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+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54700-0",
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+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54701-8",
+                  "display": "How important is it to you to have snacks available between meals?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54701-8",
+              "text": "How important is it to you to have snacks available between meals?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
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+                  "code": "54702-6",
+                  "display": "How important is it to choose your own bedtime?",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54702-6",
+              "text": "How important is it to choose your own bedtime?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54703-4",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    "text": "Drop down"
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+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54703-4",
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+              "answerOption": [
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+                  "valueCoding": {
+                    "code": "LA11014-0",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
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+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
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+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54704-2",
+                  "display": "How important is it to you to be able to use the phone in private?",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54704-2",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54705-9",
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+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54519-4/54705-9",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
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+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
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+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
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+                }
+              ]
+            }
+          ]
+        },
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+              "type": "choice",
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+                  "code": "54706-7",
+                  "display": "How important is it to you to have books, newspapers, and magazines to read?",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                }
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+              "linkId": "/54518-6/54520-2/54706-7",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
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+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
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+                    "display": "Not important at all"
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54707-5",
+                  "display": "How important is it to you to listen to music you like?",
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+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54707-5",
+              "text": "How important is it to you to listen to music you like?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54708-3",
+                  "display": "How important is it to you to be around animals such as pets?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54708-3",
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+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
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+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54709-1",
+                  "display": "How important is it to you to keep up with the news?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54709-1",
+              "text": "How important is it to you to keep up with the news?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54710-9",
+                  "display": "How important is it to you to do things with groups of people?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54710-9",
+              "text": "How important is it to you to do things with groups of people?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54711-7",
+                  "display": "How important is it to you to do your favorite activities?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54711-7",
+              "text": "How important is it to you to do your favorite activities?",
+              "answerOption": [
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54712-5",
+                  "display": "How important is it to you to go outside to get fresh air when the weather is good?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54712-5",
+              "text": "How important is it to you to go outside to get fresh air when the weather is good?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11013-2",
+                    "display": "Very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54713-3",
+                  "display": "How important is it to you to participate in religious services or practices?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54520-2/54713-3",
+              "text": "How important is it to you to participate in religious services or practices?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11014-0",
+                    "display": "Somewhat important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11015-7",
+                    "display": "Not very important"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11016-5",
+                    "display": "Not important at all"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "5"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11017-3",
+                    "display": "Important, but can't do or no choice"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11018-1",
+                    "display": "No response or non-responsive"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
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+              "code": "54714-1",
+              "display": "Primary respondent for daily and activity preferences",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54518-6/54714-1",
+          "text": "Primary respondent for daily and activity preferences",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11019-9",
+                "display": "Resident"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11020-7",
+                "display": "Family or significant other (close friend or other representative)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "9"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11021-5",
+                "display": "Interview could not be completed by resident or family/significant other (\"No response\" to 3 or more items)"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54715-8",
+              "display": "Should the Staff Assessment of Daily and Activity Preferences be Conducted?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
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+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54518-6/54715-8",
+          "text": "Should the Staff Assessment of Daily and Activity Preferences be Conducted?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11151-0",
+                "display": "No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11152-8",
+                "display": "Yes (because 3 or more items in Interview for Daily and Activity Preferences (F0400 and F0500) were not completed by resident or family/significant other)"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54521-0",
+              "display": "Staff assessment of daily and activity preferences",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54518-6/54521-0",
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+                  "code": "54716-6",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+              ],
+              "required": false,
+              "linkId": "/54518-6/54521-0/54716-6",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    "code": "LA33-6",
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+                }
+              ]
+            },
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+                  "code": "54717-4",
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+              ],
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+              "required": false,
+              "linkId": "/54518-6/54521-0/54717-4",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    "code": "LA33-6",
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+                }
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+            },
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+                  "code": "54718-2",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "linkId": "/54518-6/54521-0/54718-2",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "linkId": "/54518-6/54521-0/54719-0",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              "type": "choice",
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+                  "code": "54720-8",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "linkId": "/54518-6/54521-0/54720-8",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "code": "54721-6",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+              "linkId": "/54518-6/54521-0/54721-6",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            {
+              "type": "choice",
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+                  "code": "54722-4",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "linkId": "/54518-6/54521-0/54722-4",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              "type": "choice",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              ]
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+              "type": "choice",
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+                  "code": "54725-7",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            {
+              "type": "choice",
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+                  "code": "54726-5",
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+              ],
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
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+              "linkId": "/54518-6/54521-0/54726-5",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
+              ]
+            },
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+              "type": "choice",
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+                  "code": "54727-3",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
+              ],
+              "required": false,
+              "linkId": "/54518-6/54521-0/54727-3",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
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+              "type": "choice",
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+                  "code": "54728-1",
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+              "linkId": "/54518-6/54521-0/54728-1",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              "type": "choice",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            {
+              "type": "choice",
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+                  "code": "54730-7",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "linkId": "/54518-6/54521-0/54730-7",
+              "text": "Resident prefers keeping up with the news",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA33-6",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54731-5",
+                  "display": "Resident prefers doing things with groups of people",
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+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "required": false,
+              "linkId": "/54518-6/54521-0/54731-5",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                },
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+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54732-3",
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+              ],
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                  }
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+              ],
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+              "linkId": "/54518-6/54521-0/54732-3",
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+                    "code": "LA33-6",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54733-1",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            },
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
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+                      "valueString": "7"
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+                },
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
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+              "linkId": "/54522-8/54523-6/45601-2",
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+                }
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+            },
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA111-7",
+                    "display": "Supervision - oversight help only"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA112-5",
+                    "display": "Physical help limited to transfer only"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA113-3",
+                    "display": "Physical help in part of bathing activity"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA114-1",
+                    "display": "Total dependence"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "8"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA115-8",
+                    "display": "Activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "45609-5",
+                  "display": "Bathing - support provided during assessment period",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54522-8/46008-9/45609-5",
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+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA105-9",
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+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA106-7",
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+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA107-5",
+                    "display": "One person physical assist"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA108-3",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "8"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA109-1",
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+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
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+            }
+          ],
+          "required": false,
+          "linkId": "/54522-8/54524-4",
+          "text": "Balance during transitions and walking",
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+            {
+              "type": "choice",
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+                  "code": "54749-7",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+              "required": false,
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "8"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11034-8",
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+                }
+              ]
+            },
+            {
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+              ],
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
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+              "required": false,
+              "linkId": "/54522-8/54524-4/54750-5",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  "valueCoding": {
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "8"
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+                  "valueCoding": {
+                    "code": "LA11034-8",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54751-3",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
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+                },
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA11034-8",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54752-1",
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+              ],
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA11034-8",
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+                }
+              ]
+            },
+            {
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+              ],
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
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+                }
+              ]
+            }
+          ]
+        },
+        {
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+          ],
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+              "type": "choice",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
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+              "type": "choice",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54757-0",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+              "linkId": "/54522-8/54526-9/54757-0",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    "code": "LA33-6",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54758-8",
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+                }
+              ],
+              "valueCoding": {
+                "code": "LA11042-1",
+                "display": "Always continent"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11043-9",
+                "display": "Occasionally incontinent (less than 7 episodes of incontinence)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11044-7",
+                "display": "Frequently incontinent (7 or more episodes of urinary incontinence, but with at least one episode of continent voiding)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11045-4",
+                "display": "Always incontinent (no episodes of continent voiding)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "9"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11046-2",
+                "display": "Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for the entire 7 days"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54771-1",
+              "display": "Bowel continence. Select the one category that best describes the resident",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54528-5/54771-1",
+          "text": "Bowel continence. Select the one category that best describes the resident",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11042-1",
+                "display": "Always continent"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11048-8",
+                "display": "Occasionally incontinent (one episode of bowel incontinence)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11049-6",
+                "display": "Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "3"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11050-4",
+                "display": "Always incontinent (no episodes of continent bowel movements)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "9"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11051-2",
+                "display": "Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54772-9",
+              "display": "Bowel Toileting Program. Is a toileting program currently being used to manage the resident's bowel continence?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54528-5/54772-9",
+          "text": "Bowel Toileting Program. Is a toileting program currently being used to manage the resident's bowel continence?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54773-7",
+              "display": "Bowel Patterns. Constipation present?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54528-5/54773-7",
+          "text": "Bowel Patterns. Constipation present?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54531-9",
+          "display": "Active disease diagnosis",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/54531-9",
+      "text": "Active disease diagnosis",
+      "item": [
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54532-7",
+              "display": "Cancer",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54531-9/54532-7",
+          "text": "Cancer",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54774-5",
+                  "display": "Cancer",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54532-7/54774-5",
+              "text": "Cancer",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54533-5",
+              "display": "Heart/Circulation",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54531-9/54533-5",
+          "text": "Heart/Circulation",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54775-2",
+                  "display": "Anemia",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54775-2",
+              "text": "Anemia",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., aplastic, iron deficiency pernicious, and sickle cell",
+                  "type": "display",
+                  "linkId": "/54531-9/54533-5/54775-2-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54776-0",
+                  "display": "Atrial Fibrillation and Other Dysrhythmias",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54776-0",
+              "text": "Atrial Fibrillation and Other Dysrhythmias",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., bradycardias and tachycardias",
+                  "type": "display",
+                  "linkId": "/54531-9/54533-5/54776-0-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54777-8",
+                  "display": "Coronary Artery Disease (CAD)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54777-8",
+              "text": "Coronary Artery Disease (CAD)",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., angina, myocardial infarction, and atherosclerotic heart disease (ASHD)",
+                  "type": "display",
+                  "linkId": "/54531-9/54533-5/54777-8-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54778-6",
+                  "display": "Deep Venous Thrombosis (DVT), Pulmonary Embolus (PE), or Pulmonary Thrombo-Embolism (PTE)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54778-6",
+              "text": "Deep Venous Thrombosis (DVT), Pulmonary Embolus (PE), or Pulmonary Thrombo-Embolism (PTE)",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54779-4",
+                  "display": "Heart Failure",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54779-4",
+              "text": "Heart Failure",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., congestive heart failure (CHF) and pulmonary edema",
+                  "type": "display",
+                  "linkId": "/54531-9/54533-5/54779-4-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54780-2",
+                  "display": "Hypertension",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54780-2",
+              "text": "Hypertension",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54781-0",
+                  "display": "Orthostatic hypotension",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54533-5/54781-0",
+              "text": "Orthostatic hypotension",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54782-8",
+                  "display": "Peripheral Vascular Disease (PVD) or Peripheral Arterial Disease (PAD)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54537-6/54795-0",
+              "text": "Diabetes Mellitus (DM)",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., diabetic retinopathy, nephropathy, and neuropathy",
+                  "type": "display",
+                  "linkId": "/54531-9/54537-6/54795-0-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54796-8",
+                  "display": "Hyponatremia",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54537-6/54796-8",
+              "text": "Hyponatremia",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54797-6",
+                  "display": "Hyperkalemia",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54537-6/54797-6",
+              "text": "Hyperkalemia",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54798-4",
+                  "display": "Hyperlipidemia",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54537-6/54798-4",
+              "text": "Hyperlipidemia",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., hypercholesterolemia",
+                  "type": "display",
+                  "linkId": "/54531-9/54537-6/54798-4-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54799-2",
+                  "display": "Thyroid Disorder",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54537-6/54799-2",
+              "text": "Thyroid Disorder",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., hypothyroidism, hyperthyroidism, and Hashimoto's thyroiditis",
+                  "type": "display",
+                  "linkId": "/54531-9/54537-6/54799-2-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54538-4",
+              "display": "Musculoskeletal",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54531-9/54538-4",
+          "text": "Musculoskeletal",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54800-8",
+                  "display": "Arthritis",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54538-4/54800-8",
+              "text": "Arthritis",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA)",
+                  "type": "display",
+                  "linkId": "/54531-9/54538-4/54800-8-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54801-6",
+                  "display": "Osteoporosis",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54538-4/54801-6",
+              "text": "Osteoporosis",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54802-4",
+                  "display": "Hip Fracture",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54538-4/54802-4",
+              "text": "Hip Fracture",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ],
+              "item": [
+                {
+                  "text": "any hip fracture that has a relationship to current status, treatments, monitoring (e.g., sub-capital fractures, fractures of the trochanter and femoral neck)",
+                  "type": "display",
+                  "linkId": "/54531-9/54538-4/54802-4-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54803-2",
+                  "display": "Other Fracture",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54538-4/54803-2",
+              "text": "Other Fracture",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54539-2",
+              "display": "Neurological",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54531-9/54539-2",
+          "text": "Neurological",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54804-0",
+                  "display": "Alzheimer's Disease",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54539-2/54804-0",
+              "text": "Alzheimer's Disease",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54805-7",
+                  "display": "Aphasia",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54539-2/54805-7",
+              "text": "Aphasia",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54806-5",
+                  "display": "Cerebral Palsy",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54539-2/54806-5",
+              "text": "Cerebral Palsy",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54807-3",
+                  "display": "Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), or Stroke",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54531-9/54539-2/54807-3",
+              "text": "Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), or Stroke",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54808-1",
+                  "display": "Dementia",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
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+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54558-2/54829-7",
+              "text": "Pain Presence. Ask resident: \"Have you had pain or hurting any time in the last 5 days?\"",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11054-6",
+                    "display": "Unable to answer"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54830-5",
+                  "display": "Pain Frequency. Ask resident: \"How much of the time have you experienced pain or hurting over the last 5 days?\"",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54558-2/54830-5",
+              "text": "Pain Frequency. Ask resident: \"How much of the time have you experienced pain or hurting over the last 5 days?\"",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11055-3",
+                    "display": "Almost constantly"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA6482-9",
+                    "display": "Frequently"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA6483-7",
+                    "display": "Occasionally"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10066-1",
+                    "display": "Rarely"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11054-6",
+                    "display": "Unable to answer"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54559-0",
+                  "display": "Pain effect on function",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54558-2/54559-0",
+              "text": "Pain effect on function",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54831-3",
+                      "display": "Ask resident: \"Over the past 5 days, has pain made it hard for you to sleep at night?\"",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54558-2/54559-0/54831-3",
+                  "text": "Ask resident: \"Over the past 5 days, has pain made it hard for you to sleep at night?\"",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11054-6",
+                        "display": "Unable to answer"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54832-1",
+                      "display": "Ask resident: \"Over the past 7 days, have you limited your day-to-day activities because of pain?\"",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54558-2/54559-0/54832-1",
+                  "text": "Ask resident: \"Over the past 7 days, have you limited your day-to-day activities because of pain?\"",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11054-6",
+                        "display": "Unable to answer"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54560-8",
+                  "display": "Pain intensity",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54558-2/54560-8",
+              "text": "Pain intensity",
+              "item": [
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "54833-9",
+                      "display": "Numeric Rating Scale (00-10). Ask resident: \"Please rate your worst pain over the last 5 days on a zero to ten scale, with zero being no pain and ten as the worst pain you can imagine.\"  (Show resident 00-10 pain scale.)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54558-2/54560-8/54833-9",
+                  "text": "Numeric Rating Scale (00-10). Ask resident: \"Please rate your worst pain over the last 5 days on a zero to ten scale, with zero being no pain and ten as the worst pain you can imagine.\"  (Show resident 00-10 pain scale.)"
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54834-7",
+                      "display": "Verbal Descriptor Scale. Ask resident: \" Please rate the intensity of your worst pain over the last 5 days.\" (Show resident verbal scale.)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54558-2/54560-8/54834-7",
+                  "text": "Verbal Descriptor Scale. Ask resident: \" Please rate the intensity of your worst pain over the last 5 days.\" (Show resident verbal scale.)",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA6752-5",
+                        "display": "Mild"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA6751-7",
+                        "display": "Moderate"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "3"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA6750-9",
+                        "display": "Severe"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "4"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11063-7",
+                        "display": "Very severe, horrible"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11054-6",
+                        "display": "Unable to answer"
+                      }
+                    }
+                  ]
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "58117-3",
+              "display": "Should the Staff Assessment for Pain be Conducted?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54556-6/58117-3",
+          "text": "Should the Staff Assessment for Pain be Conducted?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA32-8",
+                "display": "No"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA33-6",
+                "display": "Yes"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54561-6",
+              "display": "Staff assessment for pain",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54556-6/54561-6",
+          "text": "Staff assessment for pain",
+          "item": [
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54562-4",
+                  "display": "Indicators of pain or possible pain",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54561-6/54562-4",
+              "text": "Indicators of pain or possible pain",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54835-4",
+                      "display": "Non-verbal sounds (crying, whining, gasping, moaning, or groaning).",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54561-6/54562-4/54835-4",
+                  "text": "Non-verbal sounds (crying, whining, gasping, moaning, or groaning).",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54836-2",
+                      "display": "Vocal complaints of pain (that hurts, ouch, stop).",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54561-6/54562-4/54836-2",
+                  "text": "Vocal complaints of pain (that hurts, ouch, stop).",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54837-0",
+                      "display": "Facial expressions (grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw).",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54561-6/54562-4/54837-0",
+                  "text": "Facial expressions (grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw).",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54838-8",
+                      "display": "Protective body movements or postures (bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement).",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54561-6/54562-4/54838-8",
+                  "text": "Protective body movements or postures (bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement).",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54839-6",
+                      "display": "None of these signs observed or documented",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54561-6/54562-4/54839-6",
+                  "text": "None of these signs observed or documented",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58118-1",
+                  "display": "Frequency of indicator of pain or possible pain",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54561-6/58118-1",
+              "text": "Frequency of indicator of pain or possible pain",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12645-0",
+                    "display": "Indicators of pain or possible pain observed 1 to 2 days"
+                  }
+                },
+                {
+                  "extension": [
+                    {
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+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54563-2/54849-5/54852-9",
+                  "text": "Did the resident have any fracture related to a fall in the 6 months prior to admission?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "9"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11137-9",
+                        "display": "Unable to determine"
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54853-7",
+                  "display": "Has the resident had any falls since admission or the prior assessment (OBRA or PPS), whichever is more recent?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54563-2/54853-7",
+              "text": "Has the resident had any falls since admission or the prior assessment (OBRA or PPS), whichever is more recent?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54854-5",
+                  "display": "Number of Falls Since Admission or Prior Assessment (OBRA or PPS), Whichever is More Recent",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54556-6/54563-2/54854-5",
+              "text": "Number of Falls Since Admission or Prior Assessment (OBRA or PPS), Whichever is More Recent",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54855-2",
+                      "display": "No injury",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54563-2/54854-5/54855-2",
+                  "text": "No injury",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA137-2",
+                        "display": "None"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA6306-0",
+                        "display": "One"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11073-6",
+                        "display": "Two or more"
+                      }
+                    }
+                  ],
+                  "item": [
+                    {
+                      "text": "Number of falls the patient/resident has experienced in which no evidence of any injury is noted on physical assessment by the nurse or primary care clinician, no complaints of pain or injury by the patient/resident, and no change in the patient/resident's behavior is noted after the fall.",
+                      "type": "display",
+                      "linkId": "/54556-6/54563-2/54854-5/54855-2-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54856-0",
+                      "display": "Injury (except major)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54563-2/54854-5/54856-0",
+                  "text": "Injury (except major)",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA137-2",
+                        "display": "None"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA6306-0",
+                        "display": "One"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11073-6",
+                        "display": "Two or more"
+                      }
+                    }
+                  ],
+                  "item": [
+                    {
+                      "text": "Number of falls the patient/resident has experienced that resulted in skin tears, abrasions, lacerations, superficial bruises, hematomas and sprains; or any fall-related injury that causes the patient to complain of pain.",
+                      "type": "display",
+                      "linkId": "/54556-6/54563-2/54854-5/54856-0-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54857-8",
+                      "display": "Major injury",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54556-6/54563-2/54854-5/54857-8",
+                  "text": "Major injury",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA137-2",
+                        "display": "None"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA6306-0",
+                        "display": "One"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "2"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA11073-6",
+                        "display": "Two or more"
+                      }
+                    }
+                  ],
+                  "item": [
+                    {
+                      "text": "Number of falls the patient has experienced that resulted in bone fractures, joint dislocations, closed head injuries with altered consciousness, subdural hematoma.",
+                      "type": "display",
+                      "linkId": "/54556-6/54563-2/54854-5/54857-8-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54565-7",
+          "display": "Swallowing/Nutritional Status",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/54565-7",
+      "text": "Swallowing/Nutritional Status",
+      "item": [
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54566-5",
+              "display": "Swallowing disorder",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54565-7/54566-5",
+          "text": "Swallowing disorder",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54858-6",
+                  "display": "Loss of liquids/solids from mouth when eating or drinking",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54566-5/54858-6",
+              "text": "Loss of liquids/solids from mouth when eating or drinking",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54859-4",
+                  "display": "Holding food in mouth/cheeks or residual food in mouth after meals",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54566-5/54859-4",
+              "text": "Holding food in mouth/cheeks or residual food in mouth after meals",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54860-2",
+                  "display": "Coughing or choking during meals or when swallowing medications",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54566-5/54860-2",
+              "text": "Coughing or choking during meals or when swallowing medications",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54861-0",
+                  "display": "Complaints of difficulty or pain with swallowing",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54566-5/54861-0",
+              "text": "Complaints of difficulty or pain with swallowing",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54862-8",
+                  "display": "None of the above",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54566-5/54862-8",
+              "text": "None of the above",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54567-3",
+              "display": "Height and weight",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54565-7/54567-3",
+          "text": "Height and weight",
+          "item": [
+            {
+              "type": "quantity",
+              "code": [
+                {
+                  "code": "3137-7",
+                  "display": "Height (in inches).",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
+                  "valueCoding": {
+                    "display": "[in_us]"
+                  }
+                },
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
+                  "valueCoding": {
+                    "display": "cm"
+                  }
+                },
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
+                  "valueCoding": {
+                    "display": "m"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54567-3/3137-7",
+              "text": "Height (in inches)."
+            },
+            {
+              "type": "quantity",
+              "code": [
+                {
+                  "code": "3141-9",
+                  "display": "Weight (in pounds).",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
+                  "valueCoding": {
+                    "display": "[lb_av]"
+                  }
+                },
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
+                  "valueCoding": {
+                    "display": "kg"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54567-3/3141-9",
+              "text": "Weight (in pounds)."
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54863-6",
+              "display": "Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54565-7/54863-6",
+          "text": "Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11074-4",
+                "display": "No or unknown"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11075-1",
+                "display": "Yes, on physician-prescribed weight-loss regimen"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11076-9",
+                "display": "Yes, not on physician-prescribed weight-loss regimen"
+              }
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "71442-8",
+              "display": "Weight gain",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/54565-7/71442-8",
+          "text": "Weight gain",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11074-4",
+                "display": "No or unknown"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11075-1",
+                "display": "Yes, on physician-prescribed weight-loss regimen"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA18603-3",
+                "display": "Yes, not on physician-prescribed weight-gain regimen"
+              }
+            }
+          ],
+          "item": [
+            {
+              "text": "Gain of 5% or more in the last month or loss of 10% or more in the last 6 months",
+              "type": "display",
+              "linkId": "/54565-7/71442-8-help",
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "text": "Help-Button",
+                    "coding": [
+                      {
+                        "code": "help",
+                        "display": "Help-Button",
+                        "system": "http://hl7.org/fhir/questionnaire-item-control"
+                      }
+                    ]
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54568-1",
+              "display": "Nutritional approaches panel",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54565-7/54568-1",
+          "text": "Nutritional approaches panel",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "71444-4",
+                  "display": "Nutritional Approaches. While NOT a Resident",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
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+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54568-1/71444-4",
+              "text": "Nutritional Approaches. While NOT a Resident",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "A"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18604-1",
+                    "display": "Parenteral/IV feeding"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "B"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18605-8",
+                    "display": "Feeding tube - nasogastric or abdominal (PEG)"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "Z"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "71445-1",
+                  "display": "Nutritional Approaches. While a Resident",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54568-1/71445-1",
+              "text": "Nutritional Approaches. While a Resident",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "A"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18604-1",
+                    "display": "Parenteral/IV feeding"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "B"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18605-8",
+                    "display": "Feeding tube - nasogastric or abdominal (PEG)"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "C"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18606-6",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "D"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18607-4",
+                    "display": "Therapeutic diet (e.g. low salt, diabetic, low cholesterol)"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "Z"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54569-9",
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+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54565-7/54569-9",
+          "text": "Percent intake by artificial route",
+          "item": [
+            {
+              "type": "choice",
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+                {
+                  "code": "54897-4",
+                  "display": "Proportion of total calories the resident received through parenteral or tube feedings",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54569-9/54897-4",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11079-3",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                {
+                  "code": "54869-3",
+                  "display": "Average fluid intake per day by parenteral or tube feedings",
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+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54565-7/54569-9/54869-3",
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+              "answerOption": [
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
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+                  ],
+                  "valueCoding": {
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+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA11081-9",
+                    "display": "501 cc/day or more"
+                  }
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "54570-7",
+          "display": "Oral/Dental Status",
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+        }
+      ],
+      "required": false,
+      "linkId": "/54570-7",
+      "text": "Oral/Dental Status",
+      "item": [
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54571-5",
+              "display": "Dental",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54570-7/54571-5",
+          "text": "Dental",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54871-9",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
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+              "required": false,
+              "linkId": "/54570-7/54571-5/54871-9",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
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+                  "code": "54872-7",
+                  "display": "No natural teeth or tooth fragment(s) (edentulous)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54570-7/54571-5/54872-7",
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+              "answerOption": [
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                  ],
+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
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+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
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+                  "code": "54873-5",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
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+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54570-7/54571-5/54873-5",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                  ],
+                  "valueCoding": {
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+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54874-3",
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+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54570-7/54571-5/54874-3",
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+              "answerOption": [
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54875-0",
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+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54570-7/54571-5/54875-0",
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                  ],
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+                },
+                {
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
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+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54876-8",
+                  "display": "Mouth or facial pain, discomfort or difficulty with chewing",
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+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54570-7/54571-5/54876-8",
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+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
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+                  "code": "58119-9",
+                  "display": "Unable to examine",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54570-7/54571-5/58119-9",
+              "text": "Unable to examine",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
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+                  ],
+                  "valueCoding": {
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+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54877-6",
+                  "display": "None of the above were present",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
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+                    ],
+                    "text": "Drop down"
+                  }
+                }
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+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54951-9",
+                      "display": "Number of these unstageable ulcers that were present upon admission/reentry",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/55088-9/54951-9",
+                  "text": "Number of these unstageable ulcers that were present upon admission/reentry"
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "52477-7",
+                  "display": "Dimensions of Unhealed Stage 3 or 4 Pressure Ulcers Or Eschar",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54572-3/54575-6/52477-7",
+              "text": "Dimensions of Unhealed Stage 3 or 4 Pressure Ulcers Or Eschar",
+              "item": [
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "52728-3",
+                      "display": "Pressure ulcer length",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "cm"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/52477-7/52728-3",
+                  "text": "Pressure ulcer length"
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "52729-1",
+                      "display": "Pressure ulcer width",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "cm"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/52477-7/52729-1",
+                  "text": "Pressure ulcer width"
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "57228-9",
+                      "display": "Pressure ulcer depth",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "cm"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/52477-7/57228-9",
+                  "text": "Pressure ulcer depth",
+                  "item": [
+                    {
+                      "text": "Depth of same unhealed ulcer or eschar",
+                      "type": "display",
+                      "linkId": "/54572-3/54575-6/52477-7/57228-9-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "55073-1",
+                  "display": "Most Severe Tissue Type for Any Pressure Ulcer",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54572-3/54575-6/55073-1",
+              "text": "Most Severe Tissue Type for Any Pressure Ulcer",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11082-7",
+                    "display": "Epithelial tissue - new skin growing in superficial ulcer. It can be light pink and shiny, even in persons with darkly pigmented skin."
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11083-5",
+                    "display": "Granulation tissue - pink or red tissue with shiny, moist, granular appearance"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11084-3",
+                    "display": "Slough - yellow or white tissue that adheres to the ulcer bed in strings or thick clumps, or is mucinous"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11085-0",
+                    "display": "Necrotic Tissue (Eschar) - black, brown, or tan tissue that adheres firmly to the wound bed or ulcer edges, may be softer or harder than surrounding skin."
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54952-7",
+                  "display": "Worsening in pressure injury status since last assessment (OBRA, PPS, or Discharge)",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54572-3/54575-6/54952-7",
+              "text": "Worsening in pressure injury status since last assessment (OBRA, PPS, or Discharge)",
+              "item": [
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54953-5",
+                      "display": "Stage 2",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54952-7/54953-5",
+                  "text": "Stage 2"
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54954-3",
+                      "display": "Stage 3",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54952-7/54954-3",
+                  "text": "Stage 3"
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54955-0",
+                      "display": "Stage 4",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54952-7/54955-0",
+                  "text": "Stage 4"
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54956-8",
+                  "display": "Healed pressure injuries",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54572-3/54575-6/54956-8",
+              "text": "Healed pressure injuries",
+              "item": [
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54957-6",
+                      "display": "Were pressure ulcers present on the prior assessment (OBRA or PPS)?",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54956-8/54957-6",
+                  "text": "Were pressure ulcers present on the prior assessment (OBRA or PPS)?",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54958-4",
+                      "display": "Stage 2",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54956-8/54958-4",
+                  "text": "Stage 2"
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54959-2",
+                      "display": "Stage 3",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54956-8/54959-2",
+                  "text": "Stage 3"
+                },
+                {
+                  "type": "decimal",
+                  "code": [
+                    {
+                      "code": "54960-0",
+                      "display": "Stage 4",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
+                        "display": "{#}"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54956-8/54960-0",
+                  "text": "Stage 4"
+                }
+              ]
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "54970-9",
+                  "display": "Number of venous and arterial ulcers. Enter the total number of venous and arterial ulcers present.",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{#}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/54572-3/54575-6/54970-9",
+              "text": "Number of venous and arterial ulcers. Enter the total number of venous and arterial ulcers present."
+            },
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "54961-8",
+                  "display": "Other Ulcers, Wounds and Skin Problems",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54572-3/54575-6/54961-8",
+              "text": "Other Ulcers, Wounds and Skin Problems",
+              "item": [
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58228-8",
+                      "display": "Infection of the foot",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/58228-8",
+                  "text": "Infection of the foot",
+                  "item": [
+                    {
+                      "text": "e.g., cellulitis, purulent drainage",
+                      "type": "display",
+                      "linkId": "/54572-3/54575-6/54961-8/58228-8-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54963-4",
+                      "display": "Diabetic foot ulcer(s)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/54963-4",
+                  "text": "Diabetic foot ulcer(s)",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58125-6",
+                      "display": "Other open lesion(s) on the foot",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/58125-6",
+                  "text": "Other open lesion(s) on the foot"
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54967-5",
+                      "display": "Open lesion(s) other than ulcers, rashes, cuts",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/54967-5",
+                  "text": "Open lesion(s) other than ulcers, rashes, cuts",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54966-7",
+                      "display": "Surgical wound(s)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/54966-7",
+                  "text": "Surgical wound(s)",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "54968-3",
+                      "display": "Burn(s) (second or third degree)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/54968-3",
+                  "text": "Burn(s) (second or third degree)",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "71450-1",
+                      "display": "Skin tear(s)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54572-3/54575-6/54961-8/71450-1",
+                  "text": "Skin tear(s)",
+                  "answerOption": [
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA32-8",
+                        "display": "No"
+                      }
+                    },
+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
+                        }
+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
+                  "code": [
+                    {
+                      "code": "71451-9",
+                      "display": "Moisture associated skin damage (MASD)",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
+                          }
+                        ],
+                        "text": "Drop down"
+                      }
+                    }
+                  ],
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+                      ],
+                      "valueCoding": {
+                        "code": "LA33-6",
+                        "display": "Yes"
+                      }
+                    }
+                  ],
+                  "item": [
+                    {
+                      "text": "Does not include standard body/fluid precautions",
+                      "type": "display",
+                      "linkId": "/54990-7/54991-5/55084-8/55016-0-help",
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
+                              }
+                            ]
+                          }
+                        }
+                      ]
+                    }
+                  ]
+                },
+                {
+                  "type": "choice",
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+                      "code": "55017-8",
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+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "coding": [
+                          {
+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
+                            "code": "drop-down",
+                            "display": "Drop down"
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+                        "text": "Drop down"
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54990-7/54991-5/55084-8/55017-8",
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+                    {
+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "0"
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+                      ],
+                      "valueCoding": {
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+                    },
+                    {
+                      "extension": [
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                          "valueString": "1"
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+                      ],
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+                        "code": "LA33-6",
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+                    }
+                  ],
+                  "item": [
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+                      "text": "Does not include standard body/fluid precautions",
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+                      "extension": [
+                        {
+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                          "valueCodeableConcept": {
+                            "text": "Help-Button",
+                            "coding": [
+                              {
+                                "code": "help",
+                                "display": "Help-Button",
+                                "system": "http://hl7.org/fhir/questionnaire-item-control"
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+                        }
+                      ]
+                    }
+                  ]
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+                  "code": "75795-5",
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+              "required": false,
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+                  "type": "string",
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+                      "code": "59374-9",
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+                  "linkId": "/54990-7/54991-5/75795-5/59374-9",
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+                {
+                  "type": "string",
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+                      "code": "59373-1",
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+                  "linkId": "/54990-7/54991-5/75795-5/59373-1",
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+              "type": "choice",
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+                  "code": "55019-4",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+              "required": false,
+              "linkId": "/54990-7/55018-6/55019-4",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    "code": "LA33-6",
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+              "type": "decimal",
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+                  "code": "58131-4",
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+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
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+              ],
+              "required": false,
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+              "type": "choice",
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+                  "code": "55020-2",
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+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                }
+              ],
+              "required": false,
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+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "valueCoding": {
+                    "code": "LA12666-6",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  ],
+                  "valueCoding": {
+                    "code": "LA187-7",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    "code": "LA12156-8",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                    "code": "LA9-3",
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+              ]
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+          ]
+        },
+        {
+          "type": "group",
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+          ],
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+              "type": "choice",
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+                  "code": "55022-8",
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+              ],
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                }
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+              "required": false,
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              "type": "choice",
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+              ],
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                }
+              ]
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+          ]
+        },
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+              "type": "group",
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+                  ],
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+                  "required": false,
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+                },
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+                  "type": "decimal",
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+                  ],
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58132-2/58134-8",
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+                {
+                  "type": "decimal",
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+                      "code": "45760-6",
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58132-2/45760-6",
+                  "text": "Speech/language pathology and audiology services - Days"
+                },
+                {
+                  "type": "decimal",
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+                      "code": "55025-1",
+                      "display": "Speech/language pathology and audiology services - Therapy Start Date",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "linkId": "/54990-7/55024-4/58132-2/55025-1",
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+                },
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+                  "type": "decimal",
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+                  ],
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "linkId": "/54990-7/55024-4/58132-2/55026-9",
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+              ]
+            },
+            {
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+                },
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+                      "code": "58137-1",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "linkId": "/54990-7/55024-4/58135-5/58137-1",
+                  "text": "Occupational therapy - group minutes in the last 7D"
+                },
+                {
+                  "type": "decimal",
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+                      "code": "45762-2",
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+                    }
+                  ],
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                    }
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58135-5/45762-2",
+                  "text": "Occupational Therapy - Days"
+                },
+                {
+                  "type": "decimal",
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+                      "code": "55027-7",
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                    }
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58135-5/55027-7",
+                  "text": "Occupational Therapy - Therapy Start Date"
+                },
+                {
+                  "type": "decimal",
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+                      "code": "55028-5",
+                      "display": "Occupational Therapy - Therapy End Date",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58135-5/55028-5",
+                  "text": "Occupational Therapy - Therapy End Date"
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+              ]
+            },
+            {
+              "type": "group",
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+                  "code": "58138-9",
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+              "required": false,
+              "linkId": "/54990-7/55024-4/58138-9",
+              "text": "Physical therapy",
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+                  "type": "decimal",
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+                      }
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+                },
+                {
+                  "type": "decimal",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
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+                },
+                {
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+                },
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58138-9/45764-8",
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+                },
+                {
+                  "type": "decimal",
+                  "code": [
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+                      "code": "55029-3",
+                      "display": "Physical Therapy - Therapy Start Date",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58138-9/55029-3",
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+                },
+                {
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+                      "code": "55030-1",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                    }
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58138-9/55030-1",
+                  "text": "Physical Therapy - Therapy End Date"
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+              ]
+            },
+            {
+              "type": "group",
+              "code": [
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+                  "code": "58141-3",
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+                }
+              ],
+              "required": false,
+              "linkId": "/54990-7/55024-4/58141-3",
+              "text": "Respiratory therapy",
+              "item": [
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+                      "code": "45767-1",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58141-3/45767-1",
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+                },
+                {
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+                  "code": [
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+                      "code": "45766-3",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                      "valueCoding": {
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58141-3/45766-3",
+                  "text": "Respiratory Therapy - Days"
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
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+                  "code": "58142-1",
+                  "display": "Psychological therapy",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/54990-7/55024-4/58142-1",
+              "text": "Psychological therapy",
+              "item": [
+                {
+                  "type": "decimal",
+                  "code": [
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+                      "code": "45852-1",
+                      "display": "Psychological Therapy (by any licensed mental health professional) - Minutes",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58142-1/45852-1",
+                  "text": "Psychological Therapy (by any licensed mental health professional) - Minutes"
+                },
+                {
+                  "type": "decimal",
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+                      "code": "45768-9",
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+                    }
+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55024-4/58142-1/45768-9",
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+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
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+                  "code": "58143-9",
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+                }
+              ],
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+              "text": "Recreational therapy",
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+                },
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+              ]
+            }
+          ]
+        },
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+          "type": "group",
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+              "code": "55039-2",
+              "display": "Restorative Nursing Programs",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/54990-7/55039-2",
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+              "type": "group",
+              "code": [
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+                  "code": "55131-7",
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+                      "code": "45859-6",
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+                {
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+                      "code": "45860-4",
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55039-2/55131-7/45860-4",
+                  "text": "Technique. Range of motion (active)"
+                },
+                {
+                  "type": "decimal",
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+                      "code": "45861-2",
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55039-2/55131-7/45861-2",
+                  "text": "Splint or brace assistance"
+                }
+              ]
+            },
+            {
+              "type": "group",
+              "code": [
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+                  "code": "55132-5",
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+              "required": false,
+              "linkId": "/54990-7/55039-2/55132-5",
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+                      "code": "45862-0",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55039-2/55132-5/45862-0",
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+                {
+                  "type": "decimal",
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+                      "code": "45863-8",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "required": false,
+                  "linkId": "/54990-7/55039-2/55132-5/45863-8",
+                  "text": "Transfer"
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+                {
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+                      "code": "45864-6",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "linkId": "/54990-7/55039-2/55132-5/45864-6",
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+                {
+                  "type": "decimal",
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+                      "code": "45865-3",
+                      "display": "Dressing and/or grooming",
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                      "code": "45866-1",
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+                  "extension": [
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+                },
+                {
+                  "type": "decimal",
+                  "code": [
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+                      "code": "45867-9",
+                      "display": "Amputation/prostheses care",
+                      "system": "http://loinc.org"
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+                  ],
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+                  "linkId": "/54990-7/55039-2/55132-5/45867-9",
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+                {
+                  "type": "decimal",
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+                      "code": "45868-7",
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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+              ]
+            }
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+        },
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+              "code": "55040-0",
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+              "code": "55041-8",
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+            }
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+          "type": "group",
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+              "code": "55043-4",
+              "display": "Physical restraints",
+              "system": "http://loinc.org"
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+                  "code": "55129-1",
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+                  "type": "choice",
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+                      "code": "55044-2",
+                      "display": "Bed rail",
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                            "display": "Drop down"
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+                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                            "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/55052-5/58222-1/58147-0",
+              "text": "What determination was made by the resident and the care planning team regarding discharge to the community?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12653-4",
+                    "display": "Determination not made"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12654-2",
+                    "display": "Discharge to community determined to be feasible"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12655-9",
+                    "display": "Discharge to community determined to be not feasible"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "58223-9",
+              "display": "Return to community",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55052-5/58223-9",
+          "text": "Return to community",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58148-8",
+                  "display": "Has the resident been asked about returning to the community?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/55052-5/58223-9/58148-8",
+              "text": "Has the resident been asked about returning to the community?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12656-7",
+                    "display": "Yes - previous response was \"no\""
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12657-5",
+                    "display": "Yes - previous response was \"yes\""
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12658-3",
+                    "display": "Yes - previous response was \"unknown\""
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58149-6",
+                  "display": "Ask the resident (or family or significant other if resident is unable to respond): \"Do you want to talk to someone about the possibility of returning to the community?\"",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/55052-5/58223-9/58149-6",
+              "text": "Ask the resident (or family or significant other if resident is unable to respond): \"Do you want to talk to someone about the possibility of returning to the community?\"",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "9"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA11107-2",
+                    "display": "Unknown or uncertain"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "58150-4",
+              "display": "Referral. Has a referral been made to the Local Contact Agency?",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
+                  {
+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/55052-5/58150-4",
+          "text": "Referral. Has a referral been made to the Local Contact Agency?",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "0"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA12660-9",
+                "display": "No - referral not needed"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA18611-6",
+                "display": "No - referral is or may be needed"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA18610-8",
+                "display": "Yes - referral made"
+              }
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "58154-6",
+          "display": "Care Area Assessment (CAA) Summary",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/58154-6",
+      "text": "Care Area Assessment (CAA) Summary",
+      "item": [
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "58224-7",
+              "display": "Items from most recent prior OBRA or scheduled PPS assessment",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58154-6/58224-7",
+          "text": "Items from most recent prior OBRA or scheduled PPS assessment",
+          "item": [
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54583-0",
+                  "display": "Prior Assessment Federal OBRA Reason for Assessment",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58224-7/54583-0",
+              "text": "Prior Assessment Federal OBRA Reason for Assessment",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "01"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10-4",
+                    "display": "Admission assessment (required by day 14)"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "02"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA15-3",
+                    "display": "Quarterly review assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "03"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12-0",
+                    "display": "Annual assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "04"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA13-8",
+                    "display": "Significant change in status assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "05"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10888-8",
+                    "display": "Significant correction to prior comprehensive assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "06"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10889-6",
+                    "display": "Significant correction to prior quarterly assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54584-8",
+                  "display": "Prior Assessment PPS Reason for Assessment",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58224-7/54584-8",
+              "text": "Prior Assessment PPS Reason for Assessment",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "01"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10894-6",
+                    "display": "5-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "02"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10895-3",
+                    "display": "14-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "03"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10896-1",
+                    "display": "30-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "04"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10897-9",
+                    "display": "60-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "05"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10898-7",
+                    "display": "90-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "06"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10899-5",
+                    "display": "Readmission/return assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "07"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10900-1",
+                    "display": "Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "54593-9",
+                  "display": "Prior Assessment Reference Date",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{mm/dd/yyyy}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58224-7/54593-9",
+              "text": "Prior Assessment Reference Date",
+              "item": [
+                {
+                  "text": "The end-point of the assessment period for the CMS assessment instrument.",
+                  "type": "display",
+                  "linkId": "/58154-6/58224-7/54593-9-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "58151-2",
+                  "display": "Prior assessment brief interview for mental status summary score",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{score}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58224-7/58151-2",
+              "text": "Prior assessment brief interview for mental status summary score"
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "58152-0",
+                  "display": "Prior assessment resident mood interview (PHQ-9) total severity score",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{score}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58224-7/58152-0",
+              "text": "Prior assessment resident mood interview (PHQ-9) total severity score"
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "58153-8",
+                  "display": "Prior assessment staff assessment of resident mood interview (PHQ-9) total severity score",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{score}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58224-7/58153-8",
+              "text": "Prior assessment staff assessment of resident mood interview (PHQ-9) total severity score"
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "58155-3",
+              "display": "CAAs and Care Planning",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58154-6/58155-3",
+          "text": "CAAs and Care Planning",
+          "item": [
+            {
+              "type": "group",
+              "code": [
+                {
+                  "code": "58156-1",
+                  "display": "CAA Results",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/58154-6/58155-3/58156-1",
+              "text": "CAA Results",
+              "item": [
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58157-9",
+                      "display": "Delirium - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58157-9",
+                  "text": "Delirium - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58158-7",
+                      "display": "Delirium - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58158-7",
+                  "text": "Delirium - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58159-5",
+                      "display": "Cognitive loss/dementia - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58159-5",
+                  "text": "Cognitive loss/dementia - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58160-3",
+                      "display": "Cognitive loss/dementia - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58160-3",
+                  "text": "Cognitive loss/dementia - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58226-2",
+                      "display": "Visual function - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58226-2",
+                  "text": "Visual function - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58225-4",
+                      "display": "Visual function - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58225-4",
+                  "text": "Visual function - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58161-1",
+                      "display": "Communication - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58161-1",
+                  "text": "Communication - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58162-9",
+                      "display": "Communication - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58162-9",
+                  "text": "Communication - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58163-7",
+                      "display": "ADL functional/rehabilitation potential - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58163-7",
+                  "text": "ADL functional/rehabilitation potential - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58164-5",
+                      "display": "ADL functional/rehabilitation potential - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58164-5",
+                  "text": "ADL functional/rehabilitation potential - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58165-2",
+                      "display": "Urinary incontinence and indwelling catheter - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58165-2",
+                  "text": "Urinary incontinence and indwelling catheter - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58166-0",
+                      "display": "Urinary incontinence and indwelling catheter - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58166-0",
+                  "text": "Urinary incontinence and indwelling catheter - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58167-8",
+                      "display": "Psychosocial well being - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58167-8",
+                  "text": "Psychosocial well being - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58168-6",
+                      "display": "Psychosocial well being - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58168-6",
+                  "text": "Psychosocial well being - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58169-4",
+                      "display": "Mood state - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58169-4",
+                  "text": "Mood state - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58170-2",
+                      "display": "Mood state - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58170-2",
+                  "text": "Mood state - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58171-0",
+                      "display": "Behavioral symptoms - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58171-0",
+                  "text": "Behavioral symptoms - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
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+                      "code": "58172-8",
+                      "display": "Behavioral symptoms - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58172-8",
+                  "text": "Behavioral symptoms - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58173-6",
+                      "display": "Activities - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58173-6",
+                  "text": "Activities - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
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+                      "code": "58174-4",
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+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58174-4",
+                  "text": "Activities - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58175-1",
+                      "display": "Falls - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58175-1",
+                  "text": "Falls - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58176-9",
+                      "display": "Falls - addressed in care plan",
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58176-9",
+                  "text": "Falls - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58177-7",
+                      "display": "Nutritional status - care area triggered",
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58177-7",
+                  "text": "Nutritional status - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58178-5",
+                      "display": "Nutritional status - addressed in care plan",
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58178-5",
+                  "text": "Nutritional status - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58179-3",
+                      "display": "Feeding tube - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58179-3",
+                  "text": "Feeding tube - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58180-1",
+                      "display": "Feeding tube - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58180-1",
+                  "text": "Feeding tube - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58181-9",
+                      "display": "Dehydration/fluid maintenance - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58181-9",
+                  "text": "Dehydration/fluid maintenance - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58182-7",
+                      "display": "Dehydration/fluid maintenance - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58182-7",
+                  "text": "Dehydration/fluid maintenance - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58183-5",
+                      "display": "Dental care - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58183-5",
+                  "text": "Dental care - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58184-3",
+                      "display": "Dental care - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58184-3",
+                  "text": "Dental care - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58185-0",
+                      "display": "Pressure injury - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58185-0",
+                  "text": "Pressure injury - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58186-8",
+                      "display": "Pressure injury - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58186-8",
+                  "text": "Pressure injury - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58187-6",
+                      "display": "Psychotropic drug use - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58187-6",
+                  "text": "Psychotropic drug use - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58188-4",
+                      "display": "Psychotropic drug use - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58188-4",
+                  "text": "Psychotropic drug use - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58189-2",
+                      "display": "Physical restraints - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58189-2",
+                  "text": "Physical restraints - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58190-0",
+                      "display": "Physical restraints - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58190-0",
+                  "text": "Physical restraints - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58191-8",
+                      "display": "Pain - care area triggered",
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58191-8",
+                  "text": "Pain - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58192-6",
+                      "display": "Pain - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58192-6",
+                  "text": "Pain - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58193-4",
+                      "display": "Return to community referral - care area triggered",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58193-4",
+                  "text": "Return to community referral - care area triggered"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58194-2",
+                      "display": "Return to community referral - addressed in care plan",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58194-2",
+                  "text": "Return to community referral - addressed in care plan"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58195-9",
+                      "display": "Date of Care Area Assessment (CAA) information",
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+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58195-9",
+                  "text": "Date of Care Area Assessment (CAA) information"
+                },
+                {
+                  "type": "string",
+                  "code": [
+                    {
+                      "code": "58196-7",
+                      "display": "Location of Care Area Assessment (CAA) information",
+                      "system": "http://loinc.org"
+                    }
+                  ],
+                  "required": false,
+                  "linkId": "/58154-6/58155-3/58156-1/58196-7",
+                  "text": "Location of Care Area Assessment (CAA) information"
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    },
+    {
+      "type": "group",
+      "code": [
+        {
+          "code": "58197-5",
+          "display": "Correction request",
+          "system": "http://loinc.org"
+        }
+      ],
+      "required": false,
+      "linkId": "/58197-5",
+      "text": "Correction request",
+      "item": [
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "54582-2",
+              "display": "Provider type",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
+                "coding": [
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
+                  }
+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/54582-2",
+          "text": "Provider type",
+          "answerOption": [
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10882-1",
+                "display": "Nursing home (SNF/NF)"
+              }
+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA10883-9",
+                "display": "Swing bed"
+              }
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
+            {
+              "code": "54503-8",
+              "display": "Name of Resident on existing record to be modified/inactivated",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/54503-8",
+          "text": "Name of Resident on existing record to be modified/inactivated",
+          "item": [
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45392-8",
+                  "display": "Patient First name",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54503-8/45392-8",
+              "text": "Patient First name"
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "45394-4",
+                  "display": "Patient Last name",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54503-8/45394-4",
+              "text": "Patient Last name"
+            }
+          ]
+        },
+        {
+          "type": "choice",
+          "code": [
+            {
+              "code": "46098-0",
+              "display": "Gender on existing record to be modified/inactivated",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+              "valueCodeableConcept": {
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "display": "Drop down"
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+                ],
+                "text": "Drop down"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/46098-0",
+          "text": "Gender on existing record to be modified/inactivated",
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+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "1"
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+              ],
+              "valueCoding": {
+                "code": "LA2-8",
+                "display": "Male"
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+            },
+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "2"
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+              ],
+              "valueCoding": {
+                "code": "LA3-6",
+                "display": "Female"
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+            }
+          ]
+        },
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+          "type": "decimal",
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+              "code": "21112-8",
+              "display": "Birth Date on existing record to be modified/inactived",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+              "valueCoding": {
+                "display": "{mm/dd/yyyy}"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/21112-8",
+          "text": "Birth Date on existing record to be modified/inactived"
+        },
+        {
+          "type": "string",
+          "code": [
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+              "code": "45396-9",
+              "display": "Social Security Number on existing record to be modified/inactivated",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/45396-9",
+          "text": "Social Security Number on existing record to be modified/inactivated"
+        },
+        {
+          "type": "group",
+          "code": [
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+              "code": "54502-0",
+              "display": "Type of Assessment on existing record to be modified/inactivated",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/54502-0",
+          "text": "Type of Assessment on existing record to be modified/inactivated",
+          "item": [
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+              "type": "choice",
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+                  "code": "54583-0",
+                  "display": "Federal OBRA reason for assessment",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
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+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/54583-0",
+              "text": "Federal OBRA reason for assessment",
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+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "02"
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+                  "valueCoding": {
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "03"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12-0",
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+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "04"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA13-8",
+                    "display": "Significant change in status assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "05"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10888-8",
+                    "display": "Significant correction to prior comprehensive assessment"
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "06"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA10889-6",
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+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
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+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
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+                }
+              ]
+            },
+            {
+              "type": "choice",
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+                  "code": "54584-8",
+                  "display": "PPS Assessment",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
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+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/54584-8",
+              "text": "PPS Assessment",
+              "answerOption": [
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+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "01"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10894-6",
+                    "display": "5-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "02"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10895-3",
+                    "display": "14-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "03"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10896-1",
+                    "display": "30-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "04"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10897-9",
+                    "display": "60-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "05"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10898-7",
+                    "display": "90-day scheduled assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "06"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10899-5",
+                    "display": "Readmission/return assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "07"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA10900-1",
+                    "display": "Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54585-5",
+                  "display": "PPS Other Medicare Required Assessment - OMRA",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/54585-5",
+              "text": "PPS Other Medicare Required Assessment - OMRA",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12624-5",
+                    "display": "Start of therapy assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12625-2",
+                    "display": "End of therapy assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "3"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12626-0",
+                    "display": "Both Start and End of therapy assessment"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "4"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18612-4",
+                    "display": "Change of therapy assessment"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58107-4",
+                  "display": "Is this a Swing Bed clinical change assessment?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/58107-4",
+              "text": "Is this a Swing Bed clinical change assessment?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "54587-1",
+                  "display": "Is this assessment the first assessment (OBRA, PPS, or Discharge) since the most recent admission?",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/54587-1",
+              "text": "Is this assessment the first assessment (OBRA, PPS, or Discharge) since the most recent admission?",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58108-2",
+                  "display": "Entry/discharge reporting",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
+                      {
+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/58108-2",
+              "text": "Entry/discharge reporting",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "01"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12627-8",
+                    "display": "Entry tracking record"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "10"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12628-6",
+                    "display": "Discharge assessment - return not anticipated"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "11"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12629-4",
+                    "display": "Discharge assessment - return anticipated"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "12"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA12630-2",
+                    "display": "Death in facility tracking record"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "99"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA9-3",
+                    "display": "None of the above"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "71440-2",
+                  "display": "Type of discharge",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/54502-0/71440-2",
+              "text": "Type of discharge",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18067-1",
+                    "display": "Planned discharge"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "2"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA18068-9",
+                    "display": "Unplanned discharge"
+                  }
+                }
+              ]
+            }
+          ]
+        },
+        {
+          "type": "group",
+          "code": [
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+              "code": "75794-8",
+              "display": "Date on existing record to be modified/inactivated",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/75794-8",
+          "text": "Date on existing record to be modified/inactivated",
+          "item": [
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "54593-9",
+                  "display": "Assessment reference date - observation end date",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{mm/dd/yyyy}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/75794-8/54593-9",
+              "text": "Assessment reference date - observation end date",
+              "item": [
+                {
+                  "text": "The end-point of the assessment period for the CMS assessment instrument.",
+                  "type": "display",
+                  "linkId": "/58197-5/75794-8/54593-9-help",
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                      "valueCodeableConcept": {
+                        "text": "Help-Button",
+                        "coding": [
+                          {
+                            "code": "help",
+                            "display": "Help-Button",
+                            "system": "http://hl7.org/fhir/questionnaire-item-control"
+                          }
+                        ]
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              "type": "decimal",
+              "code": [
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+                  "code": "52525-3",
+                  "display": "Discharge date",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{mm/dd/yyyy}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/75794-8/52525-3",
+              "text": "Discharge date"
+            },
+            {
+              "type": "decimal",
+              "code": [
+                {
+                  "code": "50786-3",
+                  "display": "Entry Date",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+                  "valueCoding": {
+                    "display": "{mm/dd/yyyy}"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/75794-8/50786-3",
+              "text": "Entry Date"
+            }
+          ]
+        },
+        {
+          "type": "decimal",
+          "code": [
+            {
+              "code": "58200-7",
+              "display": "Correction number",
+              "system": "http://loinc.org"
+            }
+          ],
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
+              "valueCoding": {
+                "display": "{#}"
+              }
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/58200-7",
+          "text": "Correction number"
+        },
+        {
+          "type": "group",
+          "code": [
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+              "code": "58199-1",
+              "display": "Reasons for modification",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/58197-5/58199-1",
+          "text": "Reasons for modification",
+          "item": [
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+              "type": "choice",
+              "code": [
+                {
+                  "code": "58201-5",
+                  "display": "Transcription error",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/58199-1/58201-5",
+              "text": "Transcription error",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
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+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58202-3",
+                  "display": "Data entry error",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/58199-1/58202-3",
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+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
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+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58203-1",
+                  "display": "Item coding error",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/58199-1/58203-1",
+              "text": "Item coding error",
+              "answerOption": [
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+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
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+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
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+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58227-0",
+                  "display": "Software product error",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/58199-1/58227-0",
+              "text": "Software product error",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "choice",
+              "code": [
+                {
+                  "code": "58204-9",
+                  "display": "Other error requiring modification",
+                  "system": "http://loinc.org"
+                }
+              ],
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                  "valueCodeableConcept": {
+                    "coding": [
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+                        "system": "http://hl7.org/fhir/questionnaire-item-control",
+                        "code": "drop-down",
+                        "display": "Drop down"
+                      }
+                    ],
+                    "text": "Drop down"
+                  }
+                }
+              ],
+              "required": false,
+              "linkId": "/58197-5/58199-1/58204-9",
+              "text": "Other error requiring modification",
+              "answerOption": [
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "0"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA32-8",
+                    "display": "No"
+                  }
+                },
+                {
+                  "extension": [
+                    {
+                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                      "valueString": "1"
+                    }
+                  ],
+                  "valueCoding": {
+                    "code": "LA33-6",
+                    "display": "Yes"
+                  }
+                }
+              ]
+            },
+            {
+              "type": "string",
+              "code": [
+                {
+                  "code": "58205-6",
+                  "display": "Other error requiring modification.other specified",
+                  "system": "http://loinc.org"
+                }
+              ],
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+            }
+          ]
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+              "type": "choice",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "NDE"
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+            {
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "NNN"
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "SDE"
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
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+              "valueCoding": {
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+            {
+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "SNP"
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+              ],
+              "valueCoding": {
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+                "display": "Swing bed PPS assessment"
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+            {
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "SNS"
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+              ],
+              "valueCoding": {
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+                "display": "Swing bed clinical change assessment"
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+            {
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "XXX"
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+                "text": "Drop down"
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "M"
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+              "valueCoding": {
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+            {
+              "extension": [
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+                  "valueString": "I"
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+              "valueCoding": {
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+                "display": "Inactivation"
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+            }
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+        {
+          "type": "choice",
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+              "system": "http://loinc.org"
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+          ],
+          "extension": [
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+              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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+                    "system": "http://hl7.org/fhir/questionnaire-item-control",
+                    "code": "drop-down",
+                    "display": "Drop down"
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+                "text": "Drop down"
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+          "required": false,
+          "linkId": "/55063-2/55076-4",
+          "text": "Production or test indicator",
+          "answerOption": [
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+              "extension": [
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+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "P"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11135-3",
+                "display": "Product submission"
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+            },
+            {
+              "extension": [
+                {
+                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
+                  "valueString": "T"
+                }
+              ],
+              "valueCoding": {
+                "code": "LA11136-1",
+                "display": "Test submission"
+              }
+            }
+          ]
+        },
+        {
+          "type": "string",
+          "code": [
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+              "code": "55077-2",
+              "display": "State assigned facility submission ID",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55063-2/55077-2",
+          "text": "State assigned facility submission ID"
+        },
+        {
+          "type": "string",
+          "code": [
+            {
+              "code": "55078-0",
+              "display": "Federal employer tax ID",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55063-2/55078-0",
+          "text": "Federal employer tax ID"
+        },
+        {
+          "type": "string",
+          "code": [
+            {
+              "code": "55079-8",
+              "display": "Vendor company name",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55063-2/55079-8",
+          "text": "Vendor company name"
+        },
+        {
+          "type": "string",
+          "code": [
+            {
+              "code": "55093-9",
+              "display": "Vendor email address",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55063-2/55093-9",
+          "text": "Vendor email address"
+        },
+        {
+          "type": "string",
+          "code": [
+            {
+              "code": "55080-6",
+              "display": "Product name",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55063-2/55080-6",
+          "text": "Product name"
+        },
+        {
+          "type": "string",
+          "code": [
+            {
+              "code": "55081-4",
+              "display": "Product version code",
+              "system": "http://loinc.org"
+            }
+          ],
+          "required": false,
+          "linkId": "/55063-2/55081-4",
+          "text": "Product version code"
+        }
+      ]
+    }
+  ]
+}