NHSN Healthcare Associated Infection (HAI) Reports, published by HL7 International - Structured Documents Work Group. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/HAI/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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Resource Profile: Healthcare Associated Infection Single-Person Report QuestionnaireResponse

This profile represents a response to the Healthcare Associated Infection Single-Person Report Questionnaire as a FHIR QuestionnaireResponse profile.

Usage:

• Examples for this Resource Profile: QuestionnaireResponse/hai-questionnaireresponse-los-denom, QuestionnaireResponse/hai-questionnaireresponse-los-event, QuestionnaireResponse/hai-questionnaireresponse-opc-proc-denom, QuestionnaireResponse/hai-questionnaireresponse-opc-sdom-event and QuestionnaireResponse/hai-questionnaireresponse-opc-ssi-event

Formal Views of Profile Content

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

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

This structure is derived from USCoreQuestionnaireResponseProfile

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	USCoreQuestionnaireResponseProfile	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	S	1..1	id	Logical id of this artifact
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
identifier		1..1	Identifier	Globally unique identifier for this QuestionnaireResponse.
questionnaire		1..1	canonical(SDCBaseQuestionnaire)	Points to the single-person report questionnaire instance being answered.
status		1..1	code	A submitted QuestionnaireResponse is 'completed'. Required Pattern: completed
author		1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item		1..*	BackboneElement	item
text	S	0..1	string	Text description of the item.
answer		0..*	BackboneElement	Answer to the question.
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	SC	0..*	USCoreQuestionnaireResponseProfile	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
Slices for tag	SΣ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by pattern:$this Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:All Slices				Content/Rules for all slices
code	Σ	1..1	code	Symbol in syntax defined by the system
tag:sdoh	SΣ	0..1	Coding	SDOH Tag Binding: US Core Tags ValueSet (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
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	1..1	Identifier	Globally unique identifier for this QuestionnaireResponse.
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Points to the single-person report questionnaire instance being answered.
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
url	S	0..1	uri	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	A submitted QuestionnaireResponse is 'completed'. Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the questions
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item	SC	1..*	BackboneElement	item
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
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	Pointer to specific item from Questionnaire
text	S	0..1	string	Text description of the item.
answer	S	0..*	BackboneElement	Answer to the question.
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
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		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueDecimal			decimal
valueString			string
valueCoding			Coding
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.meta.tag	example	CommonTags
QuestionnaireResponse.meta.tag:sdoh	required	Pattern: sdoh
QuestionnaireResponse.status	required	Pattern: completed
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

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().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()

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	SC	0..*	USCoreQuestionnaireResponseProfile	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	SΣ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by pattern:$this Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:sdoh	SΣ	0..1	Coding	SDOH Tag Binding: US Core Tags ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
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	1..1	Identifier	Globally unique identifier for this QuestionnaireResponse.
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)	Points to the single-person report questionnaire instance being answered.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
url	S	0..1	uri	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	A submitted QuestionnaireResponse is 'completed'. Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	1..*	BackboneElement	item
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
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	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	Text description of the item.
answer	S	0..*	BackboneElement	Answer 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
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
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		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal S
valueInteger			integer
valueString			string S
valueCoding			Coding S
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.meta.security	extensible	All Security Labels
QuestionnaireResponse.meta.tag	example	CommonTags
QuestionnaireResponse.meta.tag:sdoh	required	Pattern: sdoh
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	Pattern: completed
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

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().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

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)

Differential View

This structure is derived from USCoreQuestionnaireResponseProfile

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	USCoreQuestionnaireResponseProfile	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	S	1..1	id	Logical id of this artifact
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
identifier		1..1	Identifier	Globally unique identifier for this QuestionnaireResponse.
questionnaire		1..1	canonical(SDCBaseQuestionnaire)	Points to the single-person report questionnaire instance being answered.
status		1..1	code	A submitted QuestionnaireResponse is 'completed'. Required Pattern: completed
author		1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item		1..*	BackboneElement	item
text	S	0..1	string	Text description of the item.
answer		0..*	BackboneElement	Answer to the question.
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	SC	0..*	USCoreQuestionnaireResponseProfile	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
Slices for tag	SΣ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by pattern:$this Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:All Slices				Content/Rules for all slices
code	Σ	1..1	code	Symbol in syntax defined by the system
tag:sdoh	SΣ	0..1	Coding	SDOH Tag Binding: US Core Tags ValueSet (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
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	1..1	Identifier	Globally unique identifier for this QuestionnaireResponse.
questionnaire	SΣ	1..1	canonical(SDCBaseQuestionnaire)	Points to the single-person report questionnaire instance being answered.
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
url	S	0..1	uri	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	A submitted QuestionnaireResponse is 'completed'. Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the questions
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item	SC	1..*	BackboneElement	item
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
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	Pointer to specific item from Questionnaire
text	S	0..1	string	Text description of the item.
answer	S	0..*	BackboneElement	Answer to the question.
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
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		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueDecimal			decimal
valueString			string
valueCoding			Coding
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.meta.tag	example	CommonTags
QuestionnaireResponse.meta.tag:sdoh	required	Pattern: sdoh
QuestionnaireResponse.status	required	Pattern: completed
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

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().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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	SC	0..*	USCoreQuestionnaireResponseProfile	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	SΣ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by pattern:$this Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:sdoh	SΣ	0..1	Coding	SDOH Tag Binding: US Core Tags ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
signature		0..*	Signature	A signature attesting to the content URL: http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature
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	1..1	Identifier	Globally unique identifier for this QuestionnaireResponse.
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)	Points to the single-person report questionnaire instance being answered.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
questionnaireDisplay	S	0..1	string	Display name for canonical reference URL: http://hl7.org/fhir/StructureDefinition/display
url	S	0..1	uri	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	A submitted QuestionnaireResponse is 'completed'. Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the questions
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	1..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	1..*	BackboneElement	item
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
itemMedia		0..1	Attachment	Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
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	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	Text description of the item.
answer	S	0..*	BackboneElement	Answer 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
itemAnswerMedia		0..1	Attachment	Answer Media to display URL: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
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		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDate			date
valueDateTime			dateTime
valueTime			time
valueDecimal			decimal S
valueInteger			integer
valueString			string S
valueCoding			Coding S
valueUri			uri
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Any)
item	S	0..*	See item (QuestionnaireResponse)	Nested groups and questions
item	S	0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.meta.security	extensible	All Security Labels
QuestionnaireResponse.meta.tag	example	CommonTags
QuestionnaireResponse.meta.tag:sdoh	required	Pattern: sdoh
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	Pattern: completed
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

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().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

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)

Other representations of profile: CSV, Excel, Schematron