US Quality Core Implementation Guide
0.1.0 - cibuild United States of America flag

US Quality Core Implementation Guide, published by ASTP. 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/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: US Quality Core QuestionnaireResponse

Official URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-questionnaireresponse Version: 0.1.0
Active as of 2023-08-01 Computable Name: USQualityCoreQuestionnaireResponse

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

The US Quality 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

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile US Core Profile based on SDC QuestionnaireResponse
Constraints: sdcqr-1, sdcqr-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... questionnaire SΣ 1..1 canonical(SDCBaseQuestionnaire) (USCDI) Form being answered
.... Slices for extension Content/Rules for all slices
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
..... extension:url S 0..1 uri (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 ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The subject of the questions
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core Organization | US Quality Core Patient | US Quality Core PractitionerRole | US Quality Core Device | US Quality Core RelatedPerson | US Core Implantable Device Profile) (USCDI) Person who received and recorded the answers
... item SC 0..* BackboneElement (USCDI) Groups and questions
Constraints: qrs-1
.... Slices for extension Content/Rules for all slices
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) Pointer to specific item from Questionnaire
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question
..... Slices for extension Content/Rules for all slices
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... value[x] S 0..1 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueCoding Coding S
...... valueString string S
...... valueDecimal decimal S
...... valueDate date
...... valueDateTime dateTime
...... valueInteger integer
...... valueQuantity Quantity
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📦4.0.1 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().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-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 Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse 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. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

This structure is derived from USCoreQuestionnaireResponseProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse 0..* USCoreQuestionnaireResponseProfile US Core Profile based on SDC QuestionnaireResponse
... subject 1..1 Reference(US Quality Core Patient) (USCDI) The subject of the questions
... author 0..1 Reference(US Quality Core Practitioner | US Quality Core Organization | US Quality Core Patient | US Quality Core PractitionerRole | US Quality Core Device | US Quality Core RelatedPerson | US Core Implantable Device Profile) (USCDI) Person who received and recorded the answers
... item 0..* BackboneElement (USCDI) Groups and questions
.... linkId 1..1 string (USCDI) Pointer to specific item from Questionnaire
.... answer
..... value[x] 0..1 (USCDI) Single-valued answer to the question
...... valueCoding Coding
...... valueString string
...... valueDecimal decimal
...... valueDate date
...... valueDateTime dateTime
...... valueInteger integer
...... valueQuantity Quantity

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile US Core Profile based on SDC QuestionnaireResponse
Constraints: sdcqr-1, sdcqr-2
... 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
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* Reference(Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(SDCBaseQuestionnaire) (USCDI) Form being answered
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
..... extension:url S 0..1 uri (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..1 string Primitive value for canonical
... status ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core Organization | US Quality Core Patient | US Quality Core PractitionerRole | US Quality Core Device | US Quality Core RelatedPerson | US Core Implantable Device Profile) (USCDI) Person who received and recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
... item SC 0..* BackboneElement (USCDI) Groups and questions
Constraints: qrs-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... value[x] S 0..1 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueCoding Coding S
...... valueString string S
...... valueDecimal decimal S
...... valueDate date
...... valueDateTime dateTime
...... valueInteger integer
...... valueQuantity Quantity
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📦4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📦4.0.1 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().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-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 Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse 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. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile US Core Profile based on SDC QuestionnaireResponse
Constraints: sdcqr-1, sdcqr-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... questionnaire SΣ 1..1 canonical(SDCBaseQuestionnaire) (USCDI) Form being answered
.... Slices for extension Content/Rules for all slices
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
..... extension:url S 0..1 uri (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 ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The subject of the questions
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core Organization | US Quality Core Patient | US Quality Core PractitionerRole | US Quality Core Device | US Quality Core RelatedPerson | US Core Implantable Device Profile) (USCDI) Person who received and recorded the answers
... item SC 0..* BackboneElement (USCDI) Groups and questions
Constraints: qrs-1
.... Slices for extension Content/Rules for all slices
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) Pointer to specific item from Questionnaire
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question
..... Slices for extension Content/Rules for all slices
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... value[x] S 0..1 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueCoding Coding S
...... valueString string S
...... valueDecimal decimal S
...... valueDate date
...... valueDateTime dateTime
...... valueInteger integer
...... valueQuantity Quantity
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📦4.0.1 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().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-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 Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse 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. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

Differential View

This structure is derived from USCoreQuestionnaireResponseProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse 0..* USCoreQuestionnaireResponseProfile US Core Profile based on SDC QuestionnaireResponse
... subject 1..1 Reference(US Quality Core Patient) (USCDI) The subject of the questions
... author 0..1 Reference(US Quality Core Practitioner | US Quality Core Organization | US Quality Core Patient | US Quality Core PractitionerRole | US Quality Core Device | US Quality Core RelatedPerson | US Core Implantable Device Profile) (USCDI) Person who received and recorded the answers
... item 0..* BackboneElement (USCDI) Groups and questions
.... linkId 1..1 string (USCDI) Pointer to specific item from Questionnaire
.... answer
..... value[x] 0..1 (USCDI) Single-valued answer to the question
...... valueCoding Coding
...... valueString string
...... valueDecimal decimal
...... valueDate date
...... valueDateTime dateTime
...... valueInteger integer
...... valueQuantity Quantity

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* USCoreQuestionnaireResponseProfile US Core Profile based on SDC QuestionnaireResponse
Constraints: sdcqr-1, sdcqr-2
... 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
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:signature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... extension:completionMode 0..1 CodeableConcept E.g. Verbal, written, electronic
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode
Binding: QuestionnaireResponseMode (required): Codes indicating how the questionnaire was completed.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Unique id for this set of answers
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* Reference(Observation | Procedure) Part of this action
... questionnaire SΣ 1..1 canonical(SDCBaseQuestionnaire) (USCDI) Form being answered
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:questionnaireDisplay S 0..1 string Display name for canonical reference
URL: http://hl7.org/fhir/StructureDefinition/display
..... extension:url S 0..1 uri (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..1 string Primitive value for canonical
... status ?!SΣ 1..1 code (USCDI) in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored SΣ 1..1 dateTime (USCDI) Date the answers were gathered
... author SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core Organization | US Quality Core Patient | US Quality Core PractitionerRole | US Quality Core Device | US Quality Core RelatedPerson | US Core Implantable Device Profile) (USCDI) Person who received and recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
... item SC 0..* BackboneElement (USCDI) Groups and questions
Constraints: qrs-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:itemMedia 0..1 Attachment Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
..... extension:ItemSignature 0..* Signature A signature attesting to the content
URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId S 1..1 string (USCDI) Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text S 0..1 string Name for group or question text
.... answer S 0..* BackboneElement The response(s) to the question
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:itemAnswerMedia 0..1 Attachment Answer Media to display
URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
...... extension:ordinalValue 0..1 decimal Assigned Ordinal Value
URL: http://hl7.org/fhir/StructureDefinition/ordinalValue
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... value[x] S 0..1 (USCDI) Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueCoding Coding S
...... valueString string S
...... valueDecimal decimal S
...... valueDate date
...... valueDateTime dateTime
...... valueInteger integer
...... valueQuantity Quantity
..... item S 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item S 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📦4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📦4.0.1 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().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-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 Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()
sdcqr-1 best practice QuestionnaireResponse Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. subject.exists()
sdcqr-2 best practice QuestionnaireResponse 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. (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()

 

Other representations of profile: CSV, Excel, Schematron