Vaccination CDS Implementation Guide, published by Euvabeco. 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/EUVABECO/VCDS/ and changes regularly. See the Directory of published versions

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Resource Profile: QuestionnaireResponse

Questionnaire for the VCDS.

The absence of an answer will be interpreted as

• FALSE for a Boolean condition,
• 0 for a numeric value,
• a business decided value for choices. In this last case the selected value will be set in the QuestionnaireResponse resource included with the recommendations.

If several answers are provided for a same identifier, the request will be rejected.

Usage:

• Examples for this Resource Profile: QuestionnaireResponse/example-questionnaire-response

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
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
questionnaire	Σ	1..1	canonical(Questionnaire)	Canonical URL of Questionnaire being answered ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
QuestionnaireResponse.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
status		1..1	code	in-progress | completed | amended | entered-in-error | stopped Required Pattern: completed
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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 Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
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	0..*	Identifier	Business identifier for this set of answers
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. Required Pattern: completed
subject	Σ	0..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter the questionnaire response is part of
authored	Σ	0..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	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)	The individual or device that answered the questions
item	C	0..*	BackboneElement	Groups and questions qrs-1: Item cannot contain both item and answer qrs-2: Repeated answers are combined in the answers array of a single item
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		0..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	Conformance	ValueSet / Code	URI
QuestionnaireResponse.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
QuestionnaireResponse.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
questionnaire	Σ	1..1	canonical(Questionnaire)	Canonical URL of Questionnaire being answered ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
QuestionnaireResponse.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Differential View

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse		0..*	QuestionnaireResponse	A structured set of questions and their answers
status		1..1	code	in-progress | completed | amended | entered-in-error | stopped Required Pattern: completed
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
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	0..*	Identifier	Business identifier for this set of answers
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. Required Pattern: completed
subject	Σ	0..1	Reference(Resource)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter the questionnaire response is part of
authored	Σ	0..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	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)	The individual or device that answered the questions
item	C	0..*	BackboneElement	Groups and questions qrs-1: Item cannot contain both item and answer qrs-2: Repeated answers are combined in the answers array of a single item
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		0..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	Conformance	ValueSet / Code	URI
QuestionnaireResponse.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
QuestionnaireResponse.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0 from the FHIR Standard
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT) http://hl7.org/fhir/ValueSet/questionnaire-answers from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Other representations of profile: CSV, Excel, Schematron