QI-Core Implementation Guide
6.0.0 - STU6 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore QuestionnaireResponse

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-questionnaireresponse Version: 6.0.0
Active as of 2023-08-01 Computable Name: QICoreQuestionnaireResponse

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The QI-Core QuestionnaireResponse Profile is based upon the US Core QuestionnaireResponse Profile and sets minimum expectations for the QuestionnaireResponse resource to record, search, and fetch retrieve captures the responses to form/survey and defines the core set of elements and extensions for quality rule and measure authors.

Guidance

Reference Guidance for use of the QuestionnaireResponse profile can be found here.

  • See the Social Determinants of Health (SDOH) Guidance Page for how this profile along with other Observation Profiles or alternatively QuestionnaireResponse to is used represent SDOH assessments.

Usage

See the patterns page for implementation and usage patterns.

Examples

PHQ-9 QuestionnaireResponse Example

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreQuestionnaireResponseProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse USCoreQuestionnaireResponseProfile
... subject 1..1Reference(QICore Patient)(QI-Core)(USCDI) The subject of the questions
... author 0..1Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile)(QI-Core)(USCDI) Person who received and recorded the answers
... item 0..*BackboneElement(QI-Core)(USCDI) Groups and questions
.... linkId 1..1string(QI-Core)(USCDI) Pointer to specific item from Questionnaire
.... answer
..... value[x] 0..1(QI-Core)(USCDI) Single-valued answer to the question
...... valueCodingCoding
...... valueStringstring
...... valueDecimaldecimal
...... valueDatedate
...... valueDateTimedateTime
...... valueIntegerinteger
...... valueQuantityQuantity

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C0..*USCoreQuestionnaireResponseProfileUS Core Profile based on SDC QuestionnaireResponse
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... signature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
... completionMode 0..1CodeableConceptE.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.


... identifier SΣ0..1IdentifierUnique id for this set of answers
... questionnaire SΣ1..1canonical(SDCBaseQuestionnaire)(USCDI) Form being answered
.... questionnaireDisplay S0..1stringDisplay name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
.... url S0..1uri(USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
... status ?!SΣ1..1code(USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ1..1Reference(QICore Patient)(QI-Core)(USCDI) The subject of the questions
... authored SΣ1..1dateTime(USCDI) Date the answers were gathered
... author SΣ0..1Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile)(QI-Core)(USCDI) Person who received and recorded the answers
... item SC0..*BackboneElement(QI-Core)(USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... itemMedia 0..1AttachmentMedia to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
.... ItemSignature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId S1..1string(QI-Core)(USCDI) Pointer to specific item from Questionnaire
.... text S0..1stringName for group or question text
.... answer S0..*BackboneElementThe response(s) to the question
..... itemAnswerMedia 0..1AttachmentAnswer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
..... ordinalValue 0..1decimalAssigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... value[x] S0..1(QI-Core)(USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueCodingCoding
...... valueStringstring
...... valueDecimaldecimal
..... item S0..*See item (QuestionnaireResponse)Nested groups and questions
.... item S0..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()
NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C0..*USCoreQuestionnaireResponseProfileUS Core Profile based on SDC QuestionnaireResponse
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... signature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
... completionMode 0..1CodeableConceptE.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..1IdentifierUnique id for this set of answers
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)Request fulfilled by this QuestionnaireResponse
... partOf Σ0..*Reference(Observation | Procedure)Part of this action
... questionnaire SΣ1..1canonical(SDCBaseQuestionnaire)(USCDI) Form being answered
.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... questionnaireDisplay S0..1stringDisplay name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
.... url S0..1uri(USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
.... value 0..1stringPrimitive value for canonical
... status ?!SΣ1..1code(USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ1..1Reference(QICore Patient)(QI-Core)(USCDI) The subject of the questions
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... authored SΣ1..1dateTime(USCDI) Date the answers were gathered
... author SΣ0..1Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile)(QI-Core)(USCDI) Person who received and recorded the answers
... source Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)The person who answered the questions
... item SC0..*BackboneElement(QI-Core)(USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... itemMedia 0..1AttachmentMedia to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
.... ItemSignature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId S1..1string(QI-Core)(USCDI) Pointer to specific item from Questionnaire
.... definition 0..1uriElementDefinition - details for the item
.... text S0..1stringName for group or question text
.... answer S0..*BackboneElementThe response(s) to the question
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... itemAnswerMedia 0..1AttachmentAnswer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
..... ordinalValue 0..1decimalAssigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... value[x] S0..1(QI-Core)(USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueCodingCoding S
...... valueStringstring S
...... valueDecimaldecimal S
...... valueDatedate
...... valueDateTimedateTime
...... valueIntegerinteger
...... valueQuantityQuantity
..... item S0..*See item (QuestionnaireResponse)Nested groups and questions
.... item S0..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

Differential View

This structure is derived from USCoreQuestionnaireResponseProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse USCoreQuestionnaireResponseProfile
... subject 1..1Reference(QICore Patient)(QI-Core)(USCDI) The subject of the questions
... author 0..1Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile)(QI-Core)(USCDI) Person who received and recorded the answers
... item 0..*BackboneElement(QI-Core)(USCDI) Groups and questions
.... linkId 1..1string(QI-Core)(USCDI) Pointer to specific item from Questionnaire
.... answer
..... value[x] 0..1(QI-Core)(USCDI) Single-valued answer to the question
...... valueCodingCoding
...... valueStringstring
...... valueDecimaldecimal
...... valueDatedate
...... valueDateTimedateTime
...... valueIntegerinteger
...... valueQuantityQuantity

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C0..*USCoreQuestionnaireResponseProfileUS Core Profile based on SDC QuestionnaireResponse
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... signature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
... completionMode 0..1CodeableConceptE.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.


... identifier SΣ0..1IdentifierUnique id for this set of answers
... questionnaire SΣ1..1canonical(SDCBaseQuestionnaire)(USCDI) Form being answered
.... questionnaireDisplay S0..1stringDisplay name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
.... url S0..1uri(USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
... status ?!SΣ1..1code(USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ1..1Reference(QICore Patient)(QI-Core)(USCDI) The subject of the questions
... authored SΣ1..1dateTime(USCDI) Date the answers were gathered
... author SΣ0..1Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile)(QI-Core)(USCDI) Person who received and recorded the answers
... item SC0..*BackboneElement(QI-Core)(USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... itemMedia 0..1AttachmentMedia to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
.... ItemSignature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId S1..1string(QI-Core)(USCDI) Pointer to specific item from Questionnaire
.... text S0..1stringName for group or question text
.... answer S0..*BackboneElementThe response(s) to the question
..... itemAnswerMedia 0..1AttachmentAnswer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
..... ordinalValue 0..1decimalAssigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... value[x] S0..1(QI-Core)(USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueCodingCoding
...... valueStringstring
...... valueDecimaldecimal
..... item S0..*See item (QuestionnaireResponse)Nested groups and questions
.... item S0..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. QuestionnaireResponse C0..*USCoreQuestionnaireResponseProfileUS Core Profile based on SDC QuestionnaireResponse
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... signature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
... completionMode 0..1CodeableConceptE.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..1IdentifierUnique id for this set of answers
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)Request fulfilled by this QuestionnaireResponse
... partOf Σ0..*Reference(Observation | Procedure)Part of this action
... questionnaire SΣ1..1canonical(SDCBaseQuestionnaire)(USCDI) Form being answered
.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... questionnaireDisplay S0..1stringDisplay name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
.... url S0..1uri(USCDI) The location where a non-FHIR questionnaire/survey form can be found.
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri
.... value 0..1stringPrimitive value for canonical
... status ?!SΣ1..1code(USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.

... subject SΣ1..1Reference(QICore Patient)(QI-Core)(USCDI) The subject of the questions
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... authored SΣ1..1dateTime(USCDI) Date the answers were gathered
... author SΣ0..1Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore Device | QICore RelatedPerson | US Core Implantable Device Profile)(QI-Core)(USCDI) Person who received and recorded the answers
... source Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)The person who answered the questions
... item SC0..*BackboneElement(QI-Core)(USCDI) Groups and questions
qrs-1: Nested item can't be beneath both item and answer
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... itemMedia 0..1AttachmentMedia to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
.... ItemSignature 0..*SignatureA signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId S1..1string(QI-Core)(USCDI) Pointer to specific item from Questionnaire
.... definition 0..1uriElementDefinition - details for the item
.... text S0..1stringName for group or question text
.... answer S0..*BackboneElementThe response(s) to the question
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... itemAnswerMedia 0..1AttachmentAnswer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
..... ordinalValue 0..1decimalAssigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... value[x] S0..1(QI-Core)(USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.

...... valueCodingCoding S
...... valueStringstring S
...... valueDecimaldecimal S
...... valueDatedate
...... valueDateTimedateTime
...... valueIntegerinteger
...... valueQuantityQuantity
..... item S0..*See item (QuestionnaireResponse)Nested groups and questions
.... item S0..*See item (QuestionnaireResponse)Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
QuestionnaireResponse.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
QuestionnaireResponse.statusrequiredQuestionnaireResponseStatus
http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]exampleQuestionnaireAnswerCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/questionnaire-answers
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorQuestionnaireResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorQuestionnaireResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceQuestionnaireResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qrs-1errorQuestionnaireResponse.itemNested item can't be beneath both item and answer
: (answer.exists() and item.exists()).not()
sdcqr-1best practiceQuestionnaireResponseSubject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.
: subject.exists()
sdcqr-2best practiceQuestionnaireResponseWhen repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.
: (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

 

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