SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## Resource Profile: SGHI QuestionnaireResponse

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/questionnaireresponse | Version: 0.1.0
Draft as of 2026-05-21 | Computable Name: SGHIQuestionnaireResponse

A QuestionnaireResponse captures the questions and answers to a Questionnaire.

Usages:

- Examples for this Profile: QuestionnaireResponse/ExampleSGHIQuestionnaireResponse

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Business identifier for this set of answers
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
questionnaire | Σ | 1..1 | canonical(Questionnaire) | Canonical URL of Questionnaire being answered
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Practitioner) | The subject of the questions
encounter | Σ | 1..1 | SGHIReference(SGHI Encounter) | Encounter the questionnaire response is part of
authored | Σ | 1..1 | dateTime | Date the answers were gathered
source | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient | SGHI Practitioner) | The individual or device that answered the questions
item | C | 1..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | C | 1..1 | string | Pointer to specific item from Questionnaire
text |  | 1..1 | string | Name for group or question text
answer | C | 0..* | BackboneElement | The response(s) to the question
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | C | 1..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Binding this is problematic because one value set can't apply to both codes and quantities.
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity(SimpleQuantity) |
valueReference |  |  | Reference(Resource) |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
QuestionnaireResponse.​status | Base | required | Questionnaire Response Status | 📍5.0.0 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If 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-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Item cannot contain both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`

This structure is derived from QuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
identifier |  | 1..* | Identifier | Business identifier for this set of answers
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
subject |  | 1..1 | SGHIReference(SGHI Patient | SGHI Practitioner) | The subject of the questions
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter the questionnaire response is part of
authored |  | 1..1 | dateTime | Date the answers were gathered
source |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient | SGHI Practitioner) | The individual or device that answered the questions
item |  | 1..* | BackboneElement | Groups and questions
text |  | 1..1 | string | Name for group or question text
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Business identifier for this set of answers
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | Request fulfilled by this QuestionnaireResponse
partOf | Σ | 0..* | Reference(Observation | Procedure) | Part of referenced event
questionnaire | Σ | 1..1 | canonical(Questionnaire) | Canonical URL of Questionnaire being answered
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Practitioner) | The subject of the questions
encounter | Σ | 1..1 | SGHIReference(SGHI Encounter) | Encounter the questionnaire response is part of
authored | Σ | 1..1 | dateTime | Date the answers were gathered
author | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | The individual or device that received and recorded the answers
source | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient | SGHI Practitioner) | The individual or device that answered the questions
item | C | 1..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | C | 1..1 | string | Pointer to specific item from Questionnaire
definition |  | 0..1 | uri | ElementDefinition - details for the item
text |  | 1..1 | string | Name for group or question text
answer | C | 0..* | BackboneElement | The response(s) to the question
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | C | 1..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Binding this is problematic because one value set can't apply to both codes and quantities.
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity(SimpleQuantity) |
valueReference |  |  | Reference(Resource) |
item |  | 0..* | See item (QuestionnaireResponse) | Child items of question
item |  | 0..* | See item (QuestionnaireResponse) | Child items of group item
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
QuestionnaireResponse.​status | Base | required | Questionnaire Response Status | 📍5.0.0 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If 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-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Item cannot contain both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 10 elements

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Practitioner (https://fhir.slade360.co.ke/fhir/StructureDefinition/practitioner)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/encounter)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Business identifier for this set of answers
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
questionnaire | Σ | 1..1 | canonical(Questionnaire) | Canonical URL of Questionnaire being answered
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Practitioner) | The subject of the questions
encounter | Σ | 1..1 | SGHIReference(SGHI Encounter) | Encounter the questionnaire response is part of
authored | Σ | 1..1 | dateTime | Date the answers were gathered
source | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient | SGHI Practitioner) | The individual or device that answered the questions
item | C | 1..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | C | 1..1 | string | Pointer to specific item from Questionnaire
text |  | 1..1 | string | Name for group or question text
answer | C | 0..* | BackboneElement | The response(s) to the question
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | C | 1..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Binding this is problematic because one value set can't apply to both codes and quantities.
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity(SimpleQuantity) |
valueReference |  |  | Reference(Resource) |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
QuestionnaireResponse.​status | Base | required | Questionnaire Response Status | 📍5.0.0 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If 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-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Item cannot contain both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`

Differential View

This structure is derived from QuestionnaireResponse

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
identifier |  | 1..* | Identifier | Business identifier for this set of answers
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
subject |  | 1..1 | SGHIReference(SGHI Patient | SGHI Practitioner) | The subject of the questions
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter the questionnaire response is part of
authored |  | 1..1 | dateTime | Date the answers were gathered
source |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient | SGHI Practitioner) | The individual or device that answered the questions
item |  | 1..* | BackboneElement | Groups and questions
text |  | 1..1 | string | Name for group or question text
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
QuestionnaireResponse |  | 0..* | QuestionnaireResponse | A structured set of questions and their answers
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Business identifier for this set of answers
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | Request fulfilled by this QuestionnaireResponse
partOf | Σ | 0..* | Reference(Observation | Procedure) | Part of referenced event
questionnaire | Σ | 1..1 | canonical(Questionnaire) | Canonical URL of Questionnaire being answered
status | ?!Σ | 1..1 | code | in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
subject | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Practitioner) | The subject of the questions
encounter | Σ | 1..1 | SGHIReference(SGHI Encounter) | Encounter the questionnaire response is part of
authored | Σ | 1..1 | dateTime | Date the answers were gathered
author | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | The individual or device that received and recorded the answers
source | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient | SGHI Practitioner) | The individual or device that answered the questions
item | C | 1..* | BackboneElement | Groups and questions Constraints: qrs-1, qrs-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
linkId | C | 1..1 | string | Pointer to specific item from Questionnaire
definition |  | 0..1 | uri | ElementDefinition - details for the item
text |  | 1..1 | string | Name for group or question text
answer | C | 0..* | BackboneElement | The response(s) to the question
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value[x] | C | 1..1 |  | Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Binding this is problematic because one value set can't apply to both codes and quantities.
valueBoolean |  |  | boolean |
valueDecimal |  |  | decimal |
valueInteger |  |  | integer |
valueDate |  |  | date |
valueDateTime |  |  | dateTime |
valueTime |  |  | time |
valueString |  |  | string |
valueUri |  |  | uri |
valueAttachment |  |  | Attachment |
valueCoding |  |  | Coding |
valueQuantity |  |  | Quantity(SimpleQuantity) |
valueReference |  |  | Reference(Resource) |
item |  | 0..* | See item (QuestionnaireResponse) | Child items of question
item |  | 0..* | See item (QuestionnaireResponse) | Child items of group item
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
QuestionnaireResponse.​language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
QuestionnaireResponse.​identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
QuestionnaireResponse.​status | Base | required | Questionnaire Response Status | 📍5.0.0 | FHIR Std.
QuestionnaireResponse.​item.answer.value[x] | Base | example | Questionnaire Answer Codes | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | QuestionnaireResponse | If 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | QuestionnaireResponse | If 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-5 | error | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | QuestionnaireResponse | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
qrs-1 | error | QuestionnaireResponse.item | Item cannot contain both item and answer | `(answer.exists() and item.exists()).not()`
qrs-2 | error | QuestionnaireResponse.item | Repeated answers are combined in the answers array of a single item | `repeat(answer|item).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()`

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 10 elements

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Practitioner (https://fhir.slade360.co.ke/fhir/StructureDefinition/practitioner)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/encounter)

Other representations of profile: CSV, Excel, Schematron